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Stepping Stones After School Program

 

This form should be filled in by the parent who will receive the Relevé 24 at the end of the year (Parent/Guardian Contact #1)

Please note that all fields marked with a red asterisk (*) are mandatory.

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Parent/Guardian Contact #1
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*
*
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Releve 24 Information
Would you like to receive a Releve 24 at the end of the year?*
Please note that no Releve 24 can be issued without a valid SIN. Releves 24 will be sent out on or before February 28, 2021.

Parent/Guardian Contact #2
*
*
*
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First Child
*
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Gender*
Preferred language*
*
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Does your child have any allergies?*
Does your child take any medication?*
I understand and agree that photos of my child may be used for promotional purposes. (If you have any questions or concerns about this, please contact Jason Brereton.)*
$30.00 Quantity
$30.00 Quantity
$30.00 Quantity
$30.00 Quantity
$30.00 Quantity
$30.00 Quantity
$30.00 Quantity

Second Child
Gender
Preferred language
Does your child have any allergies?
Does your child take any medication?
I understand and agree that photos of my child may be used for promotional purposes. (If you have any questions or concerns about this, please contact Jason Brereton)
$30.00 Quantity
$30.00 Quantity
$30.00 Quantity
$30.00 Quantity
$30.00 Quantity
$30.00 Quantity
$30.00 Quantity

* Please make sure that all information is accurate before submitting.

Checks should be made out to: "Montreal Youth Unlimited", and mailed out to:

298 Brookhaven Avenue

Dorval, QC  H9S 2N4

E-Transfers should be sent to: paiements@jslmontreal.org. Please indicate "Terra Nova - Stepping Stones" in the "Comment" section.