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Pre-registration

Desired School


CHILD’S INFORMATION:

Last Name

First Name

Date of Birth

Nationality

Languages Spoken

Sex

Experience in groups

Desired Start Date

Desired Hours


MOTHER’S INFORMATION:

Last Name

First Name

Nationality

Language spoken with child

Profession

Employer

Email

Telephone


FATHER’S INFORMATION:

Last Name

First Name

Nationality

Language spoken with child

Profession

Employer

Email

Telephone


Home address

Postal code

City

How did you hear about us?
 Posters at the school Flyers City hall Facebook Word of mouth Search engine (Google, …) Douces Maternelles website Other website(s) Other

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