Children Registration

Id Filter

date time

Select a class <div><ul class="validation-notices" style="list-style:none"><li><img src="http://www.savoiretbien-etre.com/media/com_fabrik/images/notempty.png" class="notempty fabrikImg" />This is a required field</li></ul></div>

<div><ul class="validation-notices" style="list-style:none"><li><img src="http://www.savoiretbien-etre.com/media/com_fabrik/images/notempty.png" class="notempty fabrikImg" />This is a required field</li></ul></div>

eventual 2nd choice of schedule (if 1st choice is full)

Name and First Name of the child <div><ul class="validation-notices" style="list-style:none"><li><img src="http://www.savoiretbien-etre.com/media/com_fabrik/images/notempty.png" class="notempty fabrikImg" />This is a required field</li></ul></div>

Birth Date <div><ul class="validation-notices" style="list-style:none"><li><img src="http://www.savoiretbien-etre.com/media/com_fabrik/images/notempty.png" class="notempty fabrikImg" />This is a required field</li></ul></div>

Name and First Name of the Parent <div><ul class="validation-notices" style="list-style:none"><li><img src="http://www.savoiretbien-etre.com/media/com_fabrik/images/notempty.png" class="notempty fabrikImg" />This is a required field</li></ul></div>

Address

Zip code and Town name <div><ul class="validation-notices" style="list-style:none"><li><img src="http://www.savoiretbien-etre.com/media/com_fabrik/images/notempty.png" class="notempty fabrikImg" />This is a required field</li></ul></div>

Phone Number and Mobile Number <div><ul class="validation-notices" style="list-style:none"><li><img src="http://www.savoiretbien-etre.com/media/com_fabrik/images/notempty.png" class="notempty fabrikImg" />This is a required field</li></ul></div>

Electronic address / Mail

Do you check your electronic mailbox at least twice a week ? <div><ul class="validation-notices" style="list-style:none"><li><img src="http://www.savoiretbien-etre.com/media/com_fabrik/images/notempty.png" class="notempty fabrikImg" />This is a required field</li></ul></div>

Oui
Non

How can we easily get in touch with you ? <div><ul class="validation-notices" style="list-style:none"><li><img src="http://www.savoiretbien-etre.com/media/com_fabrik/images/notempty.png" class="notempty fabrikImg" />This is a required field</li></ul></div>

Payment_by <div><ul class="validation-notices" style="list-style:none"><li><img src="http://www.savoiretbien-etre.com/media/com_fabrik/images/notempty.png" class="notempty fabrikImg" />This is a required field</li></ul></div>

E-Banking
Paper Paying Slip

Remarks

Where did you get to know our school ?

Beginning Lessons :

From now on
September 2015
Else (indicate the date in "Remarks"