(+33) 09 80 64 85 19

The School
Montessori
Curriculum
Admissions
Extracurricular
- English Club
- Day Camp

Pre-registration

Pre-Registration

We thank you for your interest in Prunelle School.This pre-registration form is non-binding and will take you about 10 minutes tocomplete. All information given will be kept strictly confidential.
Mandatory*

You wish to register your children :

School Year

Name

First Name

Telephone Number

How many children do you wish to register to Prunelle School?

Your child

First Name

Name

Date of Birth

Gender M F

Has your child ever attended school? oui non

If yes, which school did he/she attend?

What is (are) the language (s) spoken at home?

Français

Anglais

Allemand

Espagnol

Italien

Portugais

Arabe

Autre

Does your child have an extracurricular activity? Yes No

If yes, which ones?

Your children

irst child ;

First Name

Name

Date of Birth

Gender M F

Has your child ever attended school? Yes No

If yes, which school did he/she attend?

What is (are) the language (s) spoken at home?

Français

Anglais

Allemand

Espagnol

Italien

Portugais

Arabe

Autre

Does your child have an extracurricular activity? Yes No

If yes, which ones?

Second child :

First Name

Name

Date of Birth

Gender M F

Has your child ever attended school? Yes No

If yes, which school did he/she attend?

What is (are) the language (s) spoken at home?

Français

Anglais

Allemand

Espagnol

Italien

Portugais

Arabe

Autre

Does your child have an extracurricular activity? Yes No

If yes, which ones?

Your children

First child ;

First Name

Name

Date of Birth

Gender M F

Has your child ever attended school? Yes No

If yes, which school did he/she attend?

What is (are) the language (s) spoken at home?

Français

Anglais

Allemand

Espagnol

Italien

Portugais

Arabe

Autre

Does your child have an extracurricular activity? Yes No

If yes, which ones?

Second child :

First Name

Name

Date of Birth

Gender M F

Has your child ever attended school? Yes No

If yes, which school did he/she attend?

What is (are) the language (s) spoken at home?

Français

Anglais

Allemand

Espagnol

Italien

Portugais

Arabe

Autre

Does your child have an extracurricular activity? Yes No

If yes, which ones?

Third child :

First Name

Name

Date of Birth

Gender M F

Has your child ever attended school? Yes No

If yes, which school did he/she attend?

What is (are) the language (s) spoken at home?

Français

Anglais

Allemand

Espagnol

Italien

Portugais

Arabe

Autre

Does your child have an extracurricular activity? Yes No

If yes, which ones?

Parents

Parent 1

Name

First Name

Socioprofessional category of parent

Name of the company in which the parent works

Position held

Parent 2

Name

First Name

Socioprofessional category of parent

Name of the company in which the parent works

Position held

Zip code of the parents place of residence (or Parent 1 / Legal Representative if applicable)

Zip code of the place of residence of parent 2 (if different)

Family situation

Married

Separated

In concubinage

widow(er)

divorced

Other

How have you heard about Prunelle School?

Website

Facebook

Flyers, brochures, posters

An acquaintance came to an information meeting

Word of mouth

Other

Can you tell us in a few words what motivates you to register your child(ren) in our school?

I wish to register my child(ren)

Pre-Primary (2-3 years old)

Primary (3-6 years old)

Elementary School (6-9 years old)

I am also interested by

The English Club (Tuesday night/Wednesday)

The After-School Nursery

Leisure Center – Day Camp

Thank your for taking the time to fill this form, we will get back to you as soon as possible.

Admissions

Brochure
Pre-registration
Registration Form
Open House
School Fees

Connect with us :

Levallois-Perret

18-22 rue Camille Pelletan
92300 Levallois Perret.

+33 9 80 64 85 19

contact@prunelleschool.com

Puteaux-La Défense

44 Rue Marius Jacotot
92800 Puteaux

+33 9 80 64 85 19

contact@prunelleschool.com

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The School
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Pedagogy
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Pre-registration

Pre-Registration

Your child

Your children

Your children

Parents

Admissions

Connect with us :

Levallois-Perret

Puteaux-La Défense

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