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["様式第７号"]
["鶴岡アートフォーラム観覧料免除申請書"]
[{"$nulls":5},"　　年　　月　　日　"]
[]
["　　鶴 岡 市 長　　様"]
[]
[{"$nulls":5},"学校名"]
[{"$nulls":4},"申請者","住  所"]
[{"$nulls":5},"校長名　　　　　　　　　　",null,null,"　　　印"]
[]
[]
["　下記の事由により、観覧料の免除を申請します。"]
[]
["記"]
[]
["観覧日時","　　年　　月　　日（　　）午",null,"前","　　時　　分～","　　年　　月　　日（　　）午",null,"前","　　時　　分"]
[null,null,null,"後",null,null,null,"後"]
["観覧目的","　\n　□授業（校外活動など）\n　□課外活動（部活動など）\n　\n　□その他（　　　　　　　　　　　　　　　　　　　　　　　　　　　　）"]
["観覧料の\n免除事由","\n　教育課程に基づく活動の為"]
["備考","　\n　観覧者人数\n\n　　生　　徒　　　　人\n\n　　教職員等　　　　人"]
["　以下は記入しないでください。"]
["受付印",null,"　算定額",null,null,"　免除額\n　(規則第９条)","　決定額"]
[{"$nulls":5},"(1)　(2)　(5)"]
[null,null,"円　",null,null,"円　","円　"]