Add-on APS French Club™

I have read and agree with the Aux Petits Soins Library/Activity Center General Rules & Regulations.

Full name (required)

Date of birth (required)

Sex (required)

BoyGirl

ALLERGY/FOOD RESTRICTION QUESTIONNAIRE

Does your child have any allergy? (required)

YESNO

Does your child have any food restriction? (required)

YESNO

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

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