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Décembre 2020
Périscolaire - Mercredi
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* Indicates required question
Email
*
Your email
Nom de l'enfant
*
Your answer
Prénom de l'enfant
*
Your answer
Né le
*
MM
/
DD
/
YYYY
Etablissement
*
Ecole maternelle
Ecole Elémentaire
Nom de l'enseignant :
*
Your answer
Bus scolaire
*
oui
non
arrêt :
Châlons sur Vesle
Chenay
Trigny
Régime alimentaire spécifique / allergie
*
oui
Non
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