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["健康チェックシート\n12月19日(土）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"2020いびがわカップ中学生女子ソフトボール大会",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※事前にガイドラインをよく確認してください。"]
[]
[]
["都道府県名",null,null,null,null,null,null,null,null,"チーム名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"監督名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"参加人数",null,null,null,null,null,"提出日",null,null,null,null,null,"事務局欄",null,null,null,null,"健康チェックシート確認者欄"]
[]
["岐阜県",null,null,null,null,null,null,null,null,"熊野WAVE",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"熊野　太郎",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,20,null,null,null,null,null,"／"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（　　　）"]
[]
[]
[]
["フリガナ",null,null,null,null,null,null,null,null,null,"みえ　はなこ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"連絡先",null,null,"住所",null,null,null,"〒",519,null,null,null,"-",null,4324,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ＴＥＬ",null,null,null,null,null,"０５９７－８９－４１１１",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"《記入例》\n\n①大会初日【9月20日】のシートに、チームおよび参加者全員の情報を入力してください。（黄色部分へ入力）\n※入力内容は、9月21日以降のシートに自動的に反映されます。\n\n\n②「印刷」ボタンを押すと、全日程分の健康チェックシートが印刷されます。\n出発の際、忘れずご持参ください。\n\n\n③大会当日、全員の検温及び健康チェックを実施し、結果を記載してください。\n\n\n④記入漏れのチェック並びに注意事項を確認の上、代表者(連絡責任者でも可）の署名をお願いします。\n\n\n⑤会場到着後、速やかに所定の提出場所の係員にチェックシートの提出をお願いします。"]
["連絡責任者氏名",null,null,null,null,null,null,null,null,null,"三重　花子",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"三重県熊野市井戸町７９６",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ＦＡＸ",null,null,null,null,null,"０５９７－８９－３７４２"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"携帯",null,null,null,null,null,"０９０－００００－００００"]
["№",null,"役職等",null,null,null,null,"性別",null,null,"氏名",null,null,null,null,null,null,null,null,null,"住所(居住地)",null,null,null,null,null,null,null,null,null,null,null,null,"連絡先(携帯等)",null,null,null,null,null,null,null,"年齢",null,null,null,null,"大会2週間前の健康状態に関する確認欄",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"体温"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"下記健康チェック項目に該当する場合は「✔」して下さい。"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"①",null,null,null,null,"②",null,null,null,null,"③",null,null,null,null,"④",null,null,null,null,"⑤",null,null,null,null,"⑥",null,null,null,null,"⑦",null,null,null,null,"⑧"]
[]
[1,null,"監督",null,null,null,null,"男",null,null,"熊野太郎",null,null,null,null,null,null,null,null,null,"三重県熊野市井戸町７９６",null,null,null,null,null,null,null,null,null,null,null,null,"０９０－００００－００００",null,null,null,null,null,null,null,45,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"36.7 ℃"]
[]
[]
[2,null,"コーチ",null,null,null,null,"男",null,null,"有馬次郎",null,null,null,null,null,null,null,null,null,"三重県熊野市有馬町4520-325",null,null,null,null,null,null,null,null,null,null,null,null,"０９０－００００－００００",null,null,null,null,null,null,null,40,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"36.2℃"]
[]
[]
[3,null,"スコアラー",null,null,null,null,"女",null,null,"新宮　花子",null,null,null,null,null,null,null,null,null,"和歌山県新宮市佐野１１１",null,null,null,null,null,null,null,null,null,null,null,null,"０９０－００００－００００",null,null,null,null,null,null,null,14,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"36.4℃"]
[]
[]
[4,null,"選手",null,null,null,null,"女",null,null,"伊弉冉尊",null,null,null,null,null,null,null,null,null,"三重県熊野市有馬町137",null,null,null,null,null,null,null,null,null,null,null,null,"０５９７－８８－１０１１",null,null,null,null,null,null,null,14,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"36.9℃"]
[]
[]
[5,null,"選手",null,null,null,null,"女",null,null,"木本町子",null,null,null,null,null,null,null,null,null,"三重県熊野市木本町",null,null,null,null,null,null,null,null,null,null,null,null,"０５９７－００－００００",null,null,null,null,null,null,null,13,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"36.5℃"]
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[6,null,"選手",null,null,null,null,"女",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"℃"]
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[]
[]
[8,null,"選手",null,null,null,null,"女",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"℃"]
[]
[]
[9,null,"選手",null,null,null,null,"女",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"℃"]
[]
[]
[10,null,"選手",null,null,null,null,"女",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"℃"]
[]
[]
[11,null,"選手",null,null,null,null,"女",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"℃"]
[]
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[12,null,"選手",null,null,null,null,"女",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"℃"]
[]
[]
[13,null,"選手",null,null,null,null,"女",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"℃"]
[]
[]
[14,null,"選手",null,null,null,null,"女",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"℃"]
[]
[]
[15,null,"選手",null,null,null,null,"女",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"℃"]
[]
[]
[16,null,"選手",null,null,null,null,"女",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"℃"]
[]
[]
[17,null,"選手",null,null,null,null,"女",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"℃"]
[]
[]
[18,null,"選手",null,null,null,null,"女",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"℃"]
[]
[]
[19,null,"選手",null,null,null,null,"女",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"℃"]
[]
[]
[20,null,"選手",null,null,null,null,"女",null,null,"獅子岩美",null,null,null,null,null,null,null,null,null,"三重県熊野市有馬町１",null,null,null,null,null,null,null,null,null,null,null,null,"０５９７－９９－９９９９",null,null,null,null,null,null,null,13,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"36.3℃"]
[]
[]
[21,null,null,null,null,null,null,null,null,null,"以下余白",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"℃"]
[]
[]
[22,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"℃"]
[]
[]
[23,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"℃"]
[]
[]
[24,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"℃"]
[]
[]
[25,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"℃"]
[]
[]
[26,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"℃"]
[]
[]
[27,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"℃"]
[]
[]
[28,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"℃"]
[]
[]
[29,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"℃"]
[]
[]
[30,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"℃"]
[]
[]
["提出場所：大会本部（C球場　くまのスタジアム玄関付近）　　【必ず会場到着時に提出してください】"]
[null,"【注意事項】"]
[null,"（1）感染者が発生した場合は、関係機関に名簿を提出することを承諾する。"]
[null,"（2）自チームの参加者はもちろん、その他の参加者への安全確保のために虚偽の報告は行わないこと。"]
[null,"（3）30名以上が参加する場合は、本紙をコピーして作成すること。"]
[null,"（4）選手以外の監督・コーチ・マネージャー、スコアラー、トレーナーも参加する場合も明記し、備考欄に監督・コーチ等役職をそれぞれ明記すること。"]
[null,"（5）本紙に記載された方は、個人情報の取扱いに承諾したものとみなす。"]
[null,"（6）保護者等の応援者についてもチームで氏名、連絡先を把握し、感染者発生時には関係機関に情報提供を行うこと。"]
[]
["【大会２週間前における健康状態】　　※該当する選手等がいる場合は上記チェック欄に「✔」を記入をお願いします。"]
["健康チェック項目"]
["① 平熱を超える発熱がある"]
["② 咳（せき）、のどの痛みなどの ⾵邪症状がある"]
["③ だるさ（倦怠感）、息苦しさ（呼吸困難）がある"]
["④ 臭覚や味覚に異常がある"]
["⑤ 体が重く感じる、疲れやすい等の症状がある"]
["⑥ 新型コロナウイルス感染症陽性とされた者との濃厚接触がある"]
["⑦ 同居家族や⾝近な知⼈に感染が疑われる⽅がいる"]
["⑧ 過去１４⽇以内に政府から⼊国制限、⼊国後の観察期間が必要とされている国、地域等への渡航⼜は当該在住者との濃厚接触がある"]
["　　　　　　　　　　　　　　　　　　記載事項に相違ないものと認め、注意事項に同意します"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"令和　　２　年　　９　月　１９　日"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"署名(自署)　　　　　　　熊　野　太　郎"]

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["健康チェックシート\n12月19日(土)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"2020いびがわカップ中学生女子ソフトボール大会",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※事前にガイドラインをよく確認してください。"]
[]
[]
["都道府県名",null,null,null,null,null,null,null,null,"チーム名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"監督名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"参加人数",null,null,null,null,null,"提出日",null,null,null,null,null,"事務局欄",null,null,null,null,"健康チェックシート確認者欄"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"／"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（　　　）"]
[]
[]
[]
["フリガナ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"連絡先",null,null,"住所",null,null,null,"〒",null,null,null,null,"-",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ＴＥＬ"]
["連絡責任者氏名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ＦＡＸ"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"携帯"]
["№",null,"役職等",null,null,null,null,"性別",null,null,"氏名",null,null,null,null,null,null,null,null,null,"住所(居住地)",null,null,null,null,null,null,null,null,null,null,null,null,"連絡先(携帯等)",null,null,null,null,null,null,null,"年齢",null,null,null,null,"大会2週間前の健康状態に関する確認欄",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"体温"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"下記健康チェック項目に該当する場合は「✔」して下さい。"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"①",null,null,null,null,"②",null,null,null,null,"③",null,null,null,null,"④",null,null,null,null,"⑤",null,null,null,null,"⑥",null,null,null,null,"⑦",null,null,null,null,"⑧"]
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[1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"℃"]
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[2,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"℃"]
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[3,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"℃"]
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[4,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"℃"]
[]
[]
[5,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"℃"]
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[6,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"℃"]
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[7,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"℃"]
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[8,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"℃"]
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[9,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"℃"]
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[10,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"℃"]
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[]
[]
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[]
[]
["提出場所：各会場大会本部の係員までご提出をお願いします。健康広場：Ａ面バックネット裏　市場Ｇ：Ｇ面バックネット裏　【必ず会場到着時に提出してください】"]
[null,"【注意事項】"]
[null,"（1）感染者が発生した場合は、関係機関に名簿を提出することを承諾する。"]
[null,"（2）自チームの参加者はもちろん、その他の参加者への安全確保のために虚偽の報告は行わないこと。"]
[null,"（3）30名以上が参加する場合は、本紙をコピーして作成すること。"]
[null,"（4）選手以外の監督・コーチ・マネージャー、スコアラー、トレーナーも参加する場合も明記し、備考欄に監督・コーチ等役職をそれぞれ明記すること。"]
[null,"（5）本紙に記載された方は、個人情報の取扱いに承諾したものとみなす。"]
[null,"（6）保護者等の応援者についてもチームで氏名、連絡先を把握し、感染者発生時には関係機関に情報提供を行うこと。"]
[]
["【大会２週間前における健康状態】　　※該当する選手等がいる場合は上記チェック欄に「✔」を記入をお願いします。"]
["健康チェック項目"]
["① 平熱を超える発熱がある"]
["② 咳（せき）、のどの痛みなどの ⾵邪症状がある"]
["③ だるさ（倦怠感）、息苦しさ（呼吸困難）がある"]
["④ 臭覚や味覚に異常がある"]
["⑤ 体が重く感じる、疲れやすい等の症状がある"]
["⑥ 新型コロナウイルス感染症陽性とされた者との濃厚接触がある"]
["⑦ 同居家族や⾝近な知⼈に感染が疑われる⽅がいる"]
["⑧ 過去１４⽇以内に政府から⼊国制限、⼊国後の観察期間が必要とされている国、地域等への渡航⼜は当該在住者との濃厚接触がある"]
["　　　　　　　　　　　　　　　　　　記載事項に相違ないものと認め、注意事項に同意します"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"令和　　　　年　　　　月　　　　日"]
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["健康チェックシート\n12月20日(日）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"2020いびがわカップ中学生女子ソフトボール大会",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※事前にガイドラインをよく確認してください。"]
[]
[]
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[]
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["提出場所：各会場大会本部の係員までご提出をお願いします。健康広場：Ａ面バックネット裏　市場Ｇ：Ｇ面バックネット裏　【必ず会場到着時に提出してください】"]
[null,"【注意事項】"]
[null,"（1）感染者が発生した場合は、関係機関に名簿を提出することを承諾する。"]
[null,"（2）自チームの参加者はもちろん、その他の参加者への安全確保のために虚偽の報告は行わないこと。"]
[null,"（3）30名以上が参加する場合は、本紙をコピーして作成すること。"]
[null,"（4）選手以外の監督・コーチ・マネージャー、スコアラー、トレーナーも参加する場合も明記し、備考欄に監督・コーチ等役職をそれぞれ明記すること。"]
[null,"（5）本紙に記載された方は、個人情報の取扱いに承諾したものとみなす。"]
[null,"（6）保護者等の応援者についてもチームで氏名、連絡先を把握し、感染者発生時には関係機関に情報提供を行うこと。"]
[]
["【大会２週間前における健康状態】　　※該当する選手等がいる場合は上記チェック欄に「✔」を記入をお願いします。"]
["健康チェック項目"]
["① 平熱を超える発熱がある"]
["② 咳（せき）、のどの痛みなどの ⾵邪症状がある"]
["③ だるさ（倦怠感）、息苦しさ（呼吸困難）がある"]
["④ 臭覚や味覚に異常がある"]
["⑤ 体が重く感じる、疲れやすい等の症状がある"]
["⑥ 新型コロナウイルス感染症陽性とされた者との濃厚接触がある"]
["⑦ 同居家族や⾝近な知⼈に感染が疑われる⽅がいる"]
["⑧ 過去１４⽇以内に政府から⼊国制限、⼊国後の観察期間が必要とされている国、地域等への渡航⼜は当該在住者との濃厚接触がある"]
["　　　　　　　　　　　　　　　　　　記載事項に相違ないものと認め、注意事項に同意します"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"令和　　　　年　　　　月　　　　日"]
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