logo s&bORPHEUS PRODUCTIONS

modèle formulaire children registration

Children Registration 
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Registration class: {children_registration___Cours}
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eventual 2nd choice of schedule (if 1st choice is full): {children_registration___2nd_choice}
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Name and First Name of the child: {children_registration___Name_First_Name_Child}
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Birth Date: {children_registration___Birth_Date}
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Name and First Name of the Parent: {children_registration___Name_First_Name_Parent}
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Address: 
{children_registration___Address}
{children_registration___Zip_code_Town_name}
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Phone Number and Mobile Number: {children_registration___Phone_number}
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Electronic address / Mail: {children_registration___Mail}
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Do you check your electronic mailbox at least twice a week ?: {children_registration___Check_mail}
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How can we easily get in touch with you ?: {children_registration___Get_In_Touch}
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Remarks: {children_registration___Payment_by}
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Remarques: {children_registration___Remarks}
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Where did you get to know our school ?: {children_registration___Where_know_school__}
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