2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
Promoted to:
Concerning Pupil's Registration
Name and surname of the child:
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
JANUARY
FEBRUARY
MARCH
APRIL
MAY
JUNE
JULY
AUGUST
SEPTEMBER
OCTOBER
NOVEMBER
DECEMBER
Class:
STARTING
------------------------
PRE NURSERY
NURSERY 1
NURSERY 2
------------------------
PETITE SECTION
MOYENNE SECTION
GRANDE SECTION
------------------------
CLASS 1
CLASS 2
CLASS 3
CLASS 4
CLASS 5
CLASS 6
------------------------
SIL
CP
CE1
CE2
CM1
CM2
If yes precise:
NONE
DRUG ALLERGY
ASTHME
OTHER HEALTH PROBLEM
Do the child have any health problem?
Come from:
Date of Birth:
Concerning parents
Name and Surname of father / guadien :
You are?
FATHER
GUADIEN
Address :
Email :
Profession :
Residence :
Name and Surname of mother / guadien :
You are?
MOTHER
GUADIEN
Address :
Email :
Phone :
Mobile Phone :
Profession :
Lieu de Residence :
Marital Status :
MARRIED
DIVORCED
SINGLE
WIDOW
SEPARETED
Phone :
Mobile Phone:
Marital Status :
MARRY
DIVORCED
SINGLE
WIDOWER
SEPARETED
Name (s) and number (s) of a person we can contact in case of any emergency.
NB
: Name and number in one ligne.
Residence of child and authorised persons:
Child's Residence :
WITH HIS / HER PARENTS
WITH HIS / HER FATHER
WITH HIS / HER MOTHER
WITH HIS / HER FATHER GUADIEN
WITH HIS / HER MOTHER GUADIEN
Children in the day care can only be picked up by authorised adults or brother and sister in age of attending the secondary school
.
Persons authorise to come and pick up the child:
Name
:
Link to the parent:
Name
:
Link to the parent:
Name
:
Link to the parent:
NB. Without respecting the closing hour, the child will be sent to day care which is payable after 20 minutes.
Validation of the pre-registration of the child:
I the Undersigner
Declared exact all the information mentioned on this school pre-registration form and engage myself to signal in case of any changes within the school year.
FATHER
MOTHER
FATHER GUADIEN
MOTHER GUADIEN
IMPORTANT!!!
------------------------
PRE NURSERY
NURSERY 1
NURSERY 2
------------------------
PETITE SECTION
MOYENNE SECTION
GRANDE SECTION
------------------------
CLASS 1
CLASS 2
CLASS 3
CLASS 4
CLASS 5
CLASS 6
------------------------
SIL
CP
CE1
CE2
CM1
CM2
KINDLY DOWNLOAD THIS REGISTRATION FORM AND FILLING IT IN CAPITAL LETTERS.
THEN JOIN IT IN THE CHILD FILE..
MATRICULE :
Reserved to the Office
PRE - REGISTRATION FORM
NURSERY AND PRIMARY
BILINGUAL SCHOOL GROUP
LE QUEBECOIS
GROUPE SCOLAIRE BILINGUE
School Year 2020 - 2021
Confidentiality: All the information received through this form is for the school purpose and can not be share with a third party.
Signature:
Place of Birth:
Sex:
MALE
FEMALE
