Registration
Child's full name *
Home address *
Date of birth *
MM
/
DD
/
YYYY
Postal code
Child's email
Pronoun to use to refer to your child *
CHILD'S SECTION
Why do you want to come to Mont-Libre?
What are your priorities in education?
How were your past experiences in education?
What do you like to do in life? What are you interested in? What would like to be able to do?
PARENT.S' SECTION
Parent 1's full name *
Pronoun to use to refer to parent 1 *
Phone number *
Phone number during the day
Parent 1's email *
Parent 2's full name
Pronoun to use to refer to parent 2
Clear selection
Parent 2's email
Reasons why you want your child to come to Mont-Libre
What would you like us to know about your child (interests, wishes, allergies...)?
How has your child's past experiences in education been?
How many day.s a week would you like your child to come to Mont-Libre *
Membership fees *
If your child is going to come to Mont-Libre fewer than 4 days a week, which days will she or he be coming?
*
Required
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.