Inscription BàL Ados

Registration for Boîte à Lunch Teens
When you give The Depot your personal information, you agree that we can use and store it to manage your participation in our programs. We may also use anonymous data (which doesn't include any personal information) to create reports and statistics. We will keep your information for up to 7 years, but you can ask us to delete it at any time. You can read our full privacy policy here.
I consent to my data being collected in this way*

YesNo
If you do not consent to this data collection, we cannot proceed with the registration

First and last name of your parent*

First nameLast name
Parent's phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Your parent's email*
example@example.com
Your email
example@example.com
Postal code*
What is their preferred language of communication?*

FRENNeither
If 'neither', please specify which language(s) could be used to communicate with your parents
Please note that Boîte à Lunch mainly communicates via email. If you do not have regular access to the internet, what is the best way to get in touch with you?*

By emailBy phoneBy text
Emergency contact, other than the parent/guardian listed above
First and last name of emergency contact

First nameLast Name
Emergency Phone number
Please enter a valid phone number.Format: (000) 000-0000.
Number of children attending
ACTIVITY (SF)
Should be Empty:

Registration for Boîte à Lunch Teens