Drop-in – Aux Petits Soins™

Drop-in

Drop-in

$10.00

 

This purchase is non refundable and non transferable.

 

Please, do not forget to fill the enrollment form on the bottom of the page. Merci!

 

SKU: FC19DI Category:

ENROLLMENT FORM

     

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

     
     

    I would like to join the APS French Club™ for:

     
     
    [group kids6-12]

    Is your child currently enrolled in an Aux Petits Soins™ program?

     
     
    [group apsstudent1]
     

    Full name

     
     

    I would like to join the APS French Club™ on:

     
     
    [/group]

    [group nonapsstudent1]
     

    Full name


     

    Date of birth (required)

     

    Sex (required)

     
     
     

    I would like to join the APS French Club™ on:

     
     

    ALLERGY/FOOD RESTRICTION QUESTIONNAIRE


     

    Does your child have any allergy? (required)

     
    [group allergies]

    Describe your child's allergy:

    [/group]
     

    Does your child have any food restriction? (required)

     
    [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)

     
     

    How did you hear about Aux Petits Soins™?

    [/group]
    [/group]

    [group kids13-7]

    Is your child currently enrolled in an Aux Petits Soins™ program?

     
     
    [group apsstudent2]
     

    Full name (required)

     
     

    I would like to join the APS French Club on: (required)

     
     
    [/group]

    [group nonapsstudent2]
     

    Full name (required)


     

    Date of birth (required)

     

    Sex

     
     
     

    I would like to join the APS French Club™ on:

     
     

    ALLERGY/FOOD RESTRICTION QUESTIONNAIRE


     

    Does your child have any allergy?

     
    [group allergies]

    Describe your child's allergy:

    [/group]
     

    Does your child have any food restriction?

     
    [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)

     
     

    How did you hear about Aux Petits Soins?

    [/group]
    [/group]
     
     

    This form was submitted by:
     

    Your name (required)

     

    Your contact info (required)

     
     

    CONTACT US

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