AF Chicago Les Poussins Registration Application

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2021-2022 School Year

Les Poussins (3-4 yo): Monday to Friday
9:30 a.m. – 12:00 p.m. Morning class: La Vallée (the Valley)

12:00 p.m. – 1:30 p.m. Lunch-time class*: Des Jeux et Déjeuner

1:30 p.m. – 4:00 p.m. Afternoon class: La Forêt (the Forest)
You may combine several classes

Please note: submission of this form does not confirm enrollment in the program. You will receive an email from us within 1-3 business days after submission in order to complete payment and reserve your spot.

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Имејл адреса *

Child's First Name *

Child's Last Name *

Child's Date of Birth *

ДД

ММ

ГГГГ

Child's Gender *

Female

Male

Non-binary

Prefer not to say

Does your child have allergies? *

Yes

Обавезно

If you answered yes, please describe your child's allergies.

Does your child have any medical conditions or specific needs you would like us to know about? *

Yes

Обавезно

If you answered yes, please describe your child's medical condition and/or specific needs.

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