French Homeschool Programs

    Select your Province*
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    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*

    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?*

    Preferred Days*

    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.