Stepping Stones After School Program

Telephone: 514.420.0446 | Contact Us Online | francais

Stepping Stones After School Program

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

Parent/Guardian Contact

First Name*

Last Name*

Address*

City*

Postal Code*

Email Address*

Home Phone #

Work / Cell Phone #*

Relationship to the child*

Child

First Name*

Last Name*

Gender*

Male

Female

Preferred language*

French

English

Birth Date (DD-MM-YYYY)*

Grade Level*

Course Desired*

Length of Session*

30 mins

45 mins

60 mins

Availabilities*

Monday Evening

Tuesday Evening

Wednesday Evening

Thursday Evening

Friday Evening

Saturday (Day)

Saturday (Afternoon)

Saturday (Night)

In order for Stepping Stones to best accommodate your child, is there any other medical history or condition that we should be made aware of, concerning your child?

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

Head office located at:
298 Brookhaven Avenue
Dorval, QC H9S 2N4

Site Designed By / Site Powered By OSM