Vous pouvez préinscrire un pré-adolescent (9-12 ans) à l'atelier habiletés sociales-estime de soi grâce à ce formulaire. Merci de mettre le nom, prénom et la date de naissance de l'enfant et d'indiquer le nom d'au moins un représentant légal dans les notes libres. Vous pouvez aussi laisser un message complémentaire dans la partie 'Notes libres'.

MrMrsMs-

Date of birth* Day01020304050607080910111213141516171819202122232425262728293031 / MonthJanuaryFebruaryMarsAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember / Year1930193119321933193419351936193719381939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023

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