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La Crรจche Coccinelle
Registration
Bienvenue sur notre formulaire de prรฉinscription ! โจ
My child
First name
Last name
Birthdate
Gender
?
Girl
Boy
Comment
Matricule
Arrival
Departure
Tutor
Tutor's full name
Tutor's phone number
๐ณ๐ฑ +31
๐ง๐ช +32
๐ซ๐ท +33
๐ช๐ธ +34
๐ต๐น +351
๐ฑ๐บ +352
๐ฎ๐น +39
๐จ๐ญ +41
๐ฉ๐ช +49
Other phone number
๐ณ๐ฑ +31
๐ง๐ช +32
๐ซ๐ท +33
๐ช๐ธ +34
๐ต๐น +351
๐ฑ๐บ +352
๐ฎ๐น +39
๐จ๐ญ +41
๐ฉ๐ช +49
Tutor's email
Matricule
Street
City
Postcode
Country
Luxembourg
France
Belgium
Germany
Profession
Second tutor
Tutor's full name
Tutor's phone number
๐ณ๐ฑ +31
๐ง๐ช +32
๐ซ๐ท +33
๐ช๐ธ +34
๐ต๐น +351
๐ฑ๐บ +352
๐ฎ๐น +39
๐จ๐ญ +41
๐ฉ๐ช +49
Other phone number
๐ณ๐ฑ +31
๐ง๐ช +32
๐ซ๐ท +33
๐ช๐ธ +34
๐ต๐น +351
๐ฑ๐บ +352
๐ฎ๐น +39
๐จ๐ญ +41
๐ฉ๐ช +49
Tutor's email
Matricule
Street
City
Postcode
Country
Luxembourg
France
Belgium
Germany
Profession
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Temps Plein (60h)
Mi-temps Matin (30h)
Mi-temps Aprรจs-midi (30h)
Temps Partiel (36h)
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