57-80-

Règlements et conditions taga: 

Veuillez lire attentivement le document suivant et accepter les règlements et conditions. (PDF) Règlements 2017 du camp TAGA

J'accepte: 
J’atteste avoir lu et pris connaissance des règlements du CAMP TAGA. J’accepte les clauses, les termes et les conditions prévus.
Prénom de l'enfant: 
80
Nom de l'enfant: 
57
Date de naissance: 
Mardi, 5 décembre, 2017
# Assurance-maladie: 
12
Expiration: 
24
Adresses courriels: 
Maladie ou condition particulière : 
Non
Si oui, veuillez préciser: 
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Procédure(s): 
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Médication(s) (prescription médicale obligatoire) : 
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Allergie(s) ou intolérance(s) : 
Non
Si oui, veuillez préciser l'allergie et/ou intolérance ainsi que chaque réaction à celles-ci (ex. maux de ventre, enflure, etc.): 
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Procédure (s) : 
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Médication(s) (prescription médicale obligatoire): 
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Description: 
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J'accepte: 
J’autorise le Camp TAGA à prendre les dispositions nécessaires relativement à la santé de mon enfant en cas d’urgence. De plus, j’autorise la direction ou un membre du personnel autorisé à isoler mon enfant des autres, en attendant que je vienne le chercher, si mon enfant est ou paraît malade.
Votre enfant est-il à l'aise dans la pataugeoire ?: 
Oui
Nom de la personne: 
53
Lien: 
54
Téléphone (#1): 
97
Nom de la personne: 
32
Lien: 
57
Téléphone (#1): 
66
Autorisation pour les photos et les vidéos: 
Oui

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