Promoted to:
Concerning Pupil's Registration
Name and surname of the child:
Class:
If yes precise:
Do the child have any health problem?
Come from:
Date of Birth:
Concerning parents
Name and Surname of father / guadien :
You are?
Address :
Email :
Profession :
Residence :
Name and Surname of mother / guadien :
You are?
Address :
Email :
Phone  :
Mobile Phone :
Profession :
Lieu de Residence :
Marital Status :
Phone :
Mobile Phone:
Marital Status :
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 :
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.
IMPORTANT!!!
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:
Picture