Online registration

You can participate in our activities and have access to our services by registering from the form below, or click on the following link, complete the form and return it to the Cigogne Association. Registration form (PDF)

Online Registration Form (Please complete only one form per family!)
First Name
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Last Name (*)
Votre nom est obligation
University
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Permanent code
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Study level
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Email adress
Veuillez saisir un courriel valide
Phone
Veuillez saisir un numéro valide
Adress
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City
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Postal Code
Veuillez rentrer un code postal valide
Child(s) (If the child is not born yet, write the date of delivery.)
First Name
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Date of birth / /
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Sex
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First Name
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Date of birth / /
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Sex
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First Name
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Date of birth / /
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Sex
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First Name
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Date of birth / /
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Sex
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Mom of my children would like to receive information by email
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Information about the mom
Last Name
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First Name
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Email adress
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Mom of my children is a student
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Information about the father
First Name
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Last Name
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Email adress
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Dad of my children is a student
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What activities or services that interest you?
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Are there other services or activities you would like to have?
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If yes, which ones?
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How did you hear about the Cigogne Association?
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I agree that pictures of me and my children taken during the activities are posted on the website of the association.
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Date / /
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Signature (*)
Veuillez rentrer votre signature
Enter this code (*) Enter this code
Vous devez saisir ce code avant de soumettre le formulaire
Note: The information provided is used only inside the association in order to know better the members and be able to contact them.