All filed mark with an asterisk (*) are required
Family name:*
Child's name:*
D.O.B:*
Sex:*
Date child to start:*
Lunch Club required:*
Parent(s) name(s):*
Parent(s) occupation:
Address:*
Email address:*
Tel. No:*
Mobile No:*
Child's first language:*
Other language spoken:
If we should need to contact somebody during the session and there is no one at the family home, please indicate where we could reach parents / relative / or carer. We will not allow anyone to pick up your child without your permission. Relation / friend / child minder / other. Please state name & number
Contact 1:*
Password:*
Contact 2:
Contact 3:
Visit of Ile aux Aigrettes on friday 03.07.15
The theme of the event is:
Protection and breeding of endangered or nearly ectinct endemic animals, reptiles birds and insects of Mauritius Island
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