Registration
* Required
Child's full name
*
Your answer
Home address
*
Your answer
Date of birth
*
MM
/
DD
/
YYYY
Postal code
Your answer
Child's email
Your answer
Pronoun to use to refer to your child
*
She/her/hers
He/him/his
They/them/theirs
CHILD'S SECTION
Why do you want to come to Mont-Libre?
Your answer
What are your priorities in education?
Your answer
How were your past experiences in education?
Your answer
What do you like to do in life? What are you interested in? What would like to be able to do?
Your answer
PARENT.S' SECTION
Parent 1's full name
*
Your answer
Pronoun to use to refer to parent 1
*
She/her/hers
He/his/him
They/theirs/them
Phone number
*
Your answer
Phone number during the day
Your answer
Parent 1's email
*
Your answer
Parent 2's full name
Your answer
Pronoun to use to refer to parent 2
Option 1
Clear selection
Parent 2's email
Your answer
Reasons why you want your child to come to Mont-Libre
Your answer
What would you like us to know about your child (interests, wishes, allergies...)?
Your answer
How has your child's past experiences in education been?
Your answer
How many day.s a week would you like your child to come to Mont-Libre
*
1
2
3
4
Membership fees
*
I wish to take advantage of the 2-week free trial before taking a decision.
I am paying the full membership fees as determined by my family income.
I am applying for financial aid.
If your child is going to come to Mont-Libre fewer than 4 days a week, which days will she or he be coming?
Monday
Tuesday
Thursday
Friday
*
I acknowledged that my child is a registered homeschooler
Required
Submit
Never submit passwords through Google Forms.
Forms
This content is neither created nor endorsed by Google.
Report Abuse
Terms of Service
Privacy Policy