Pre-registration of a learner

Entretien Motivationnel - Mois Sans Tabac 2025 - from October 7, 2025 to December 5, 2025

Vous pouvez préinscrire un apprenant à la formation grâce à ce formulaire. Merci de rentrer un maximum d'informations, notamment une adresse mail valide, pour simplifier le travail d'enregistrement. Vous pouvez laisser un message complémentaire dans la partie 'Notes libres'.
Attention, il s'agit d'une demande de pré inscription.
Votre inscription ne sera effective que si vous recevez une convocation.

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The data collected in this form is processed by Association HAUTS-DE-FRANCE ADDICTIONS in order to manage your registration on the site. To find out more about the management of your personal data and to exercise your rights, we invite you to read our privacy policy

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