Registration
If you have more than one child, you can put information for all of them in the same form.
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Child's full name *
Home address *
Date of birth *
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DD
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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? (The two days where 9 year-olds and older can come have not been determined yet. We want to have a sense of which days would work better for them and the older kids.)
*
Required
I authorize Mont-Libre to take pictures of my child, if s/he/they consent, during his time with the centre for promotional purposes. *
I authorize my child to use Mont-Libre's drill, if s/he/they has shown to be able to use it safely and I will not hold Mont-Libre liable in case of injuries. *
I authorize my child to use Mont-Libre's circular saw, if s/he/they has shown to be able to use it safely and I will not hold Mont-Libre liable in case of injuries. *
I authorize my child to use the skaboarding structures built by members of the centre's community and I will not hold Mont-Libre liable in case of injuries. *
I authorize my child to leave the premises of Mont-Libre at any time he or she wants (only if my child is 12 or older). *
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