Hybrid Registration Form

Les Puces Hybrid Course
What you get:

The bilingual book, project, worksheets, progress card and stickers are sent to you in the post plus two years access to our members-only online portal to complete the module
Your Details
Bonjour! We're really looking forward to welcoming you to the Les Puces hybrid, online learning course. We need to take a few pieces of information, so we can get your book and project to the right place and let you access the online material.

All information provided on this form will be transferred onto our secure database, and will not be shared with any other company - in line with GDPR regulations.

If you have any questions about this form, please contact us at bonjour@lespuces.co.uk
Your First Name *
Your Last Name *
Mobile Number *
Please enter your mobile number, inc. country code.
E-mail *

Confirmation Email Please enter and confirm your email address.
Address *

Street Address

Street Address Line 2

City County

Postcode Country
Number of Children *
So we know how many projects and worksheets to send you.
Total cost per block
Total cost per block of classes
Excess postage charge
Hidden field for holding postage for international customers.
Do you want to receive our newsletter? *

Yes No
Where did you hear of us?
e.,g. Website, Instagram, Facebook
Terms & Conditions

As Parent and/or Guardian of the children, I hereby agree to the terms and conditions as set out on the following page Terms & Conditions
Confirmation

BY SUBMITTING THIS FORM I HEREBY INDICATE THAT I AM ACCEPTING THE TERMS & CONDITIONS AS DESCRIBED ABOVE.
Should be Empty:

Les Puces Hybrid Course

What you get: