FrancoLangues | French Homeschool Programs

Select your Province*
ONQCABBCSKNSNBPENL

City (required)

Details of the child

First Name (required)

Last Name (required)

Date of birth (required)

Gender*
MaleFemale

Street*

Unit/Apt

City*

Postal code*

Province*

Primary Mobile Number*

Studying in Grade*
Pre-schoolKG12345678910

Name of the school

Details of the parents

Name of the Mother

Name of the Father

Email 1 (required)

Email 2

General details

How did you hear about UCMAS?*
ReferralWebinarSocial MediaInternet searchFlyerRadioNewspaperSignageMagazineOther

Preferred Days*
Week-endsWeek-daysNo preference

Preferred timings

Emergency Contacts

Name

Phone

Authorized Individuals To Pick Up StudentEmergency Contacts

Name

Relation

Medical Details

If your child has special conditions/Allergies/Medication, please provide details:

Payment to be made at the start of each month. We accept credit card, cheque and cash. Invoice will be provided.