Explorers™ I – Individual classes

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

Full name (required)

Are you a returning student?
YESNO

 
 
[group retstudent]

Choose name of student:

[/group]
[group newstudent]

How did you hear about Aux Petits Soins?

[/group]

Date of birth (required)

Sex (required)

BoyGirl

ALLERGY/FOOD RESTRICTION QUESTIONNAIRE

Does your child have any allergy? (required)

NOYES

 
[group allergies]

Describe your child's allergy:

[/group]
 

Does your child have any food restriction? (required)

NOYES

 
[group food-restriction]

Specify:

[/group]
 
 

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)

YESNO

Are you a returning student?
YESNO

Δ