Registration
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 *
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 *
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
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 *
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.