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Graines de Crapules
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
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🇧🇪 +32
🇫🇷 +33
🇪🇸 +34
🇵🇹 +351
🇱🇺 +352
🇮🇹 +39
🇨🇭 +41
🇩🇪 +49
Tutor's email
Identification number
Street
City
Postcode
Country
Luxembourg
France
Belgium
Germany
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
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)
Nombre d'enfants à charge (y compris l'enfant accueilli)
Type d'accueil souhaité
Please select an option
Accueil régulier
Accueil occasionnel
Accueil d'urgence
Revenu Fiscal de Reference du couple (n-2)
Hours of presence
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Friday
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Wednesday
Thursday
Friday
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Thursday
Friday
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Thursday
to
Friday
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Monday
Tuesday
Wednesday
Thursday
Friday
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Monday
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Thursday
to
Friday
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Copy time slots to
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Monday
Tuesday
Wednesday
Thursday
Friday
Apply
Monday
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Tuesday
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Wednesday
to
Thursday
to
Friday
to
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Monday
Tuesday
Wednesday
Thursday
Friday
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