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Empower Kids
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Please select your preferred language to continue, and your child’s age group.
Veuillez choisir la langue dans laquelle vous souhaitez remplir ce formulaire, ainsi que la tranche d’âge de votre enfant.
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Empower Kids (Ages 6–9)
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Child's First and Last Name
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Date of Birth
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Full name of parent(s) or guardian(s)

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Phone Number
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How did you hear about this workshop?
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Does your child have any food allergies or intolerances? If yes, please specify:

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Comments and/or Questions
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  During our SEL Labs, we occasionally take photos or short videos to highlight the positive atmosphere and meaningful moments children experience at MindLab. Your child may appear in some of these images, either directly or in the background. These may be shared on our website, social media, or displayed on our bulletin boards. We kindly ask for your consent to use them. Please indicate your preference below:  
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Your registration will be confirmed upon receipt of the confirmation of the transfer to the account provided via email or WhatsApp.
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Empower Kids (6-9 ans)  
Nom complet de l’enfant
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Nom complet  des parents ou tuteurs
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Date de naissance
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Téléphone  
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Comment avez-vous connu cet atelier ?  
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Votre enfant a-t-il des allergies ou des intolérances alimentaires ? Si oui, veuillez préciser :
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  Lors de nos ateliers d'apprentissage social et émotionnel (SEL Labs), nous prenons parfois des photos ou de courtes vidéos pour illustrer l’ambiance positive et les moments significatifs vécus par les enfants à MindLab. Votre enfant peut y apparaître, directement ou en arrière-plan. Ces images peuvent être partagées sur notre site Web, nos réseaux sociaux ou affichées sur nos panneaux d’affichage. Nous vous remercions de bien vouloir indiquer votre préférence ci-dessous:  
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Commentaires ou questions
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Votre inscription sera confirmée dès réception de la confirmation du virement sur le compte communiqué par email ou WhatsApp.
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