Under Construction – crechepirouettecacahuete.com

Pirouette

Cacahuète

Acceuil des bambins prévu dans:

Jours

Heures

Minutes

Secondes

Votre micro-crèche ouvrira ses portes
le lundi 25 août à partir de 7h45.

FORMULAIRE

Pré-Inscription

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Nom de l'enfant

Prénom de l'enfant

Date de naissance ou date d'accouchement prévue

Informations relatives au change et à l'alimentation de votre enfant:

Durée du contrat d'accueil de votre enfant:

Date d'accueil souhaitée:

Planning de présence
Veuillez indiquer les plages horaires auxquelles vous souhaitez que votre enfant soit gardé. La crèche sera ouverte entre 7h15 et 18h45.

Lundi

Mardi

Mercredi

Jeudi

Vendredi

Quelle est la composition de votre famille ?

Parent 1

Nom

Prénom

N° d'allocataire

Téléphone fixe

Téléphone portable

Adresse

Code Postal

Ville

Pays

Revenu annuel

Profession

Parent 2

Nom