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Demande d'Inscription - Ecole Bilingue de Berkeley

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Please list siblings, their ages and schools atten<strong>de</strong>d<br />

Noms <strong>de</strong>s frères et soeurs <strong>de</strong> l’enfant, âges et écoles fréquentées<br />

first name / prénom(s) last name / nom date of birth / date <strong>de</strong> naissance school / école gra<strong>de</strong> / niveau<br />

How did you learn about EB? (Please be specific)<br />

Comment avez-vous connu EB ? (Soyez précis)<br />

Magazine / Revue Fair / Foire eb.org Word of mouth / Réputation<br />

<strong>Berkeley</strong> Parents Network google LeMon<strong>de</strong>.fr yelp<br />

EB Parent (Name)<br />

Other (specify)<br />

Parent d’EB (Nom)<br />

Autre (préciser)<br />

Why are you consi<strong>de</strong>ring <strong>Ecole</strong> <strong>Bilingue</strong> for your child’s education?<br />

Indiquez les raisons pour lesquelles vous souhaitez inscrire votre enfant à l’<strong>Ecole</strong> <strong>Bilingue</strong> <strong>de</strong> <strong>Berkeley</strong> :<br />

I hereby apply for admission for my child to <strong>Ecole</strong> <strong>Bilingue</strong> <strong>de</strong> <strong>Berkeley</strong>.<br />

Je <strong>de</strong>man<strong>de</strong> l’inscription <strong>de</strong> mon enfant à l’<strong>Ecole</strong> <strong>Bilingue</strong> <strong>de</strong> <strong>Berkeley</strong>.<br />

Signature:<br />

parent or guardian / parent ou tuteur<br />

Date:<br />

Thank you for returning this application along with a $150 non-refundable fee.<br />

Merci <strong>de</strong> nous retourner ce formulaire accompagné <strong>de</strong> 150 dollars (Frais <strong>de</strong> dossier non-remboursables).<br />

We welcome stu<strong>de</strong>nts without regard to gen<strong>de</strong>r, race, color, sexual orientation, religion or national origin, and comply with the ADA.

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