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GENERAL-YOUTH REGISTRATION FORM
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Email
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Your email
NE : 86984 1601 RR0001
www.menerautrement.org
Because we also believe that school ends at the end of a period, but learning lasts a lifetime.
GENERAL-YOUTH REGISTRATION FORM
*
WEEKEND SCHOOL
SUMMER CAMP - SPRING BREAK CAMP
POPULAR SOCCER, ATHLETICS, DANCE,
MEDITATION, CHESS CLUB
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Please complete in CAPITAL LETTERS
Name
*
Your answer
First name
*
Your answer
Date of Birth
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MM
/
DD
/
YYYY
Health insurance card number
*
Your answer
Nom et prénom du parent
*
Your answer
Bond with the child
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Mother
Dad
Tutor
Address
*
Your answer
Postal code
*
Your answer
Home telephone
*
Your answer
Emergency phone
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Your answer
Health
*
The child has health problems or a food allergy. Which ?
Your answer
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