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Les P'tites Canailles - La Bassée
Registration
First name
Last name
Birthdate
Gender
?
Girl
Boy
Comment
Identification number
Arrival
Departure
Tutor
Tutor's full name
Tutor's phone number
🇳🇱 +31
🇧🇪 +32
🇫🇷 +33
🇪🇸 +34
🇵🇹 +351
🇱🇺 +352
🇮🇹 +39
🇨🇠+41
🇩🇪 +49
Other phone number
🇳🇱 +31
🇧🇪 +32
🇫🇷 +33
🇪🇸 +34
🇵🇹 +351
🇱🇺 +352
🇮🇹 +39
🇨🇠+41
🇩🇪 +49
Tutor's email
Identification number
Street
City
Postcode
Country
Luxembourg
France
Belgium
Germany
Profession
Profession category
Please select an option
Auto entrepreneur
Company owner and I employ salaried staff
Company owner and I don't employ any salaried staff
Private sector employee
Public sector employee
Liberal profession and I employ salaried staff
Liberal profession and I don't employ salaried staff
Without activity
Other
Employer
Number of employees in my company
Please select an option
1
2-10
11-50
51-200
More than 200
Second tutor
Tutor's full name
Tutor's phone number
🇳🇱 +31
🇧🇪 +32
🇫🇷 +33
🇪🇸 +34
🇵🇹 +351
🇱🇺 +352
🇮🇹 +39
🇨🇠+41
🇩🇪 +49
Other phone number
🇳🇱 +31
🇧🇪 +32
🇫🇷 +33
🇪🇸 +34
🇵🇹 +351
🇱🇺 +352
🇮🇹 +39
🇨🇠+41
🇩🇪 +49
Tutor's email
Identification number
Street
City
Postcode
Country
Luxembourg
France
Belgium
Germany
Profession
Profession category
Please select an option
Auto entrepreneur
Company owner and I employ salaried staff
Company owner and I don't employ any salaried staff
Private sector employee
Public sector employee
Liberal profession and I employ salaried staff
Liberal profession and I don't employ salaried staff
Without activity
Other
Employer
Number of employees in my company
Please select an option
1
2-10
11-50
51-200
More than 200
Add a tutor
Financial Aid Eligibility Details
Dependent children
Dependent children with disability
Family income N-2
Family situation
Please select an option
Married
Civil Partners
Partners
Widow/Widower
Single
Divorced
Parent with a disability (AAH beneficiary)
Hours of presence
Monday
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Wednesday
Thursday
Friday
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Monday
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Wednesday
Thursday
Friday
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Friday
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Friday
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Monday
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Monday
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Wednesday
Thursday
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Monday
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Wednesday
Thursday
Friday
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Monday
Tuesday
Wednesday
Thursday
Friday
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Monday
Tuesday
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Thursday
Friday
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