Accueil périscolaire ODEL de Pierrefeu du Var Année scolaire 2017-2018 RENSEIGNEMENTS NOM & Prénom du responsable légal à prévenir en priorité : Tél portable & travail :
Mail :
NOM & Prénom du responsable légal à prévenir : Tél portable & travail :
Mail : SOUHAITS DE RESERVATION DE SEPTEMBRE
Nom & Prénom du 1er enfant :
LUN
MAR
JEU
VEN
LUN
MAR
JEU
VEN
4/9
5/9
7/9
8/9
11/9
12/9
14/9
15/9
M-S
M-S
M-S
M-S
M-S
M-S
M-S
M-S
LUN
MAR
JEU
VEN
LUN
MAR
JEU
VEN
18/9
19/9
21/9
22/9
25/9
26/9
28/9
29/9
M-S
M-S
M-S
M-S
M-S
M-S
M-S
M-S
LUN
MAR
JEU
VEN
LUN
MAR
JEU
VEN
2/10
3/10
5/10
6/10
9/10
10/10
12/10
13/10
M-S
M-S
M-S
M-S
M-S
M-S
M-S
M-S
Nom & Prénom du 2ème enfant :
LUN
MAR
JEU
VEN
LUN
MAR
JEU
VEN
4/9
5/9
7/9
8/9
11/9
12/9
14/9
15/9
M-S
M-S
M-S
M-S
M-S
M-S
M-S
M-S
LUN
MAR
JEU
VEN
LUN
MAR
JEU
VEN
18/9
19/9
21/9
22/9
25/9
26/9
28/9
29/9
M-S
M-S
M-S
M-S
M-S
M-S
M-S
M-S
LUN
MAR
JEU
VEN
LUN
MAR
JEU
VEN
2/10
3/10
5/10
6/10
9/10
10/10
12/10
13/10
M-S
M-S
M-S
M-S
M-S
M-S
M-S
M-S
Entourez les mentions utiles : M = Périscolaire matin ; S = Périscolaire soir ; Fiche d'inscription à rendre au moins 5 jours ouvrés avant la première date d'inscription souhaitée La participation financière familiale du périscolaire est facturée en début du mois suivant et doit être régler à la mairie
Je soussigné(e) responsable légal de l’enfant déclare avoir pris connaissance des modalités d’inscription et de règlement.
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04/04/14 Letter Philadelphia Family Division Courtroom M Judge Joseph Fernandes: Lift bench warrants in Continuance Order of March 18, 2014 against mother and grandmother of Grayson Grinage as your Continuance Order is the Judicial Legal Malpractice