LA PETITE ECOLE
AFTER SCHOOL FRENCH REGISTRATION FORM
Name of Child
*
First Name
Last Name
Class Enrolled at La petite ecole
*
Please Select
Beginner Class (Tues. 4:00-4:45)
Advanced Class (Tues. 5:00-5:45)
Child's Birthday
*
-
Month
-
Day
Year
Date
Child's School in Sept. 2022
*
Child's Grade Level in Sept. 2022
*
Please Select
JK
K
1
2
3
4
5
6
7
8
9
10
11
12
Parent/Guardian
*
First Name
Last Name
Parent/Guardian Email
*
example@example.com
Parent/Guardian Number
*
Please enter a valid phone number.
Parent/Guardian
First Name
Last Name
Parent/Guardian Email
example@example.com
Parent/Guardian Number
Please enter a valid phone number.
PLEASE UPLOAD A RECENT PHOTO OF YOUR CHILD
*
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