| 山行目的 | ハイキングクラブ平日山行 | | 集合場所・時間 | 狭山市駅6:10
| | 行動予定 | 入笠山登山口（沢入） 09:20 - 10:42 山彦荘 10:52 - 11:05 御所平峠登山口 11:15 - 11:33 入笠山登山道分岐 11:43 - 12:03 入笠山 12:33 - 12:44 入笠山登山道分岐 - 12:55 御所平峠登山口 13:05 - 14:04 入笠山登山口（沢入）
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氏名 /
役割
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生年月日 /
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携帯電話 /
緊急連絡先
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山岳保険 /
ココヘリID
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