Your child's name *

First Name

Last Name

Do you need to take medical or dietary precautions for your child *

Yes

No

Parent 1 name *

First Name

Last Name

Correspondence *

English

Français

Parent 2 name

First Name

Last Name

Correspondence

English

Français

I authorise my child’s photos to be used in communication/marketing * *

Yes

No

I authorise the educators to administer medication to my child in the event of an emergency: Disinfectant, arnica, healing cream, bandage. * *

Yes

No

Parent 1 *

First Name

Last Name

Parent 2 *

First Name

Last Name

By sending this form, the parents and/or the persons civilly and/or financially responsible confirm their child's registration to the Ma Petite École camps and undertake to pay the amount due upon receipt of the invoice before the start of the camp. If you cancel, please note that the amount will not be refunded. *