Pre-registration of a learner

Formation monitrice et moniteur de portage TELP - STRASBOURG 2025 - from October 10, 2025 to December 21, 2025

Vous pouvez préinscrire un apprenant à la formation grâce à ce formulaire. Merci de rentrer un maximum d'informations pour simplifier le travail d'enregistrement. Vous pouvez laisser un message complémentaire dans la partie 'Notes libres'.

General information

Honorific

First name

Last name* Email* Address

Postcode

City

Country

Phone

Language in the Learners' Portal

Status

Profession

Company name*

Company registration number*

Other

Free notes

Fields marked with * are mandatory.

The data collected in this form is processed by PEDIAGORA 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