Enrollment form for summer camp – Aux Petits Soins, LLC™

Enrollment form for summer camp

Please review Aux Petits Soins school policies before filling form.

Note: The information provided on this form will be used to begin your enrollment paperwork, which must be completed in person by a parent or guardian at Aux Petits Soins any time before your child’s first class. Due to limited class size, no spots can be held for students until paperwork is complete and you make your first payment. You will receive an invoice within 24 heures. You will be able to pay online via PayPal or bank transfer; we also accept credit cards, checks and cash in the office.

    I have read and agree with the Aux Petits Soins school policies.

    Today's date (required)

    CHILD INFORMATION

    Full name (required)

    Date of birth (required)

    Sex (required)

    Choose a class (required)

    ALLERGY/FOOD RESTRICTION QUESTIONNAIRE

    Does your child have any allergy? (required)

    Does your child have any food restriction? (required)

    PUBLIC RELEASE

    Aux Petits Soins, LLC is committed to ensuring that your privacy is protected. In that light, there may be occasion for media to feature Aux Petits Soins or we may need to do some photography/videography to market our company. If this happens, there is a possibility that your child’s image may appear on our website, on the TV news or in a newspaper. You can be assured that it will only be used in accordance with this privacy statement.

    Do you give Aux Petits Soins, LLC, its representatives and employees the permission to take pictures and/or video of your child? (required)

    PARENT/ GUARDIAN INFORMATION

    Your name (required)

    Your contact info (required)

    Your address (required)

    ADDITIONAL PARENT/ GUARDIAN INFORMATION

    Name

    Contact info

    Address, if different

    PAYMENT INFORMATION (required)

    Preferred payment method

    How many children do you want to enroll in our programs?

    How did you hear about Aux Petits Soins?