Franc-O-Fun Online Registration Form One Form is required for each student         Student * Name   * Birthdate * Address * Grade * City * State Connecticut Massachusetts New Jersey New York Other Pennsylvania Rhode Island * Home Phone * Zip             * Choose One ... New Student Continuing Student   Experience         Parent * Name   * Home Phone * E-Mail   Cell/Mobile         Medical * Dr. Name   * Phone     Medical Conditions which may require attention, ie. allergies, medications, physical impairment          In case of an Emergency Please Notify:     * Name   * Home Phone * Address             Classes * Class #1 Please Choose One... Maman et Bebe Ourson Coccinelles Lapineaux Lapins Caniches Perroquets Alouettes Franc-O-Femmes Rose I Franc-O-Femmes Rose II Allez en Ville Cooking - Maman et Moi Cooking - weekly drop off Cooking - Le Club - Saturdays Summer French Camp - Wilton Summer French Camp - Ridgefield * Day   * Location Please Choose... Fairfield New Canaan Ridgefield Wilton Darien Trumbull * Time       Class #2 Maman et Bebe Ourson Coccinelles Lapineaux Lapins Caniches Perroquets Alouettes Franc-O-Femmes Rose I Franc-O-Femmes Rose II Allez en Ville Cooking - Maman et Moi Cooking - weekly drop off Cooking - Le Club - Saturdays Summer French Camp - Wilton Summer French Camp - Ridgefield Day   Location Fairfield New Canaan Ridgefield Wilton Darien Trumbull Time       Class #3 Maman et Bebe Ourson Coccinelles Lapineaux Lapins Caniches Perroquets Alouettes Franc-O-Femmes Rose I Franc-O-Femmes Rose II Allez en Ville Cooking - Maman et Moi Cooking - weekly drop off Cooking - Le Club - Saturdays Summer French Camp - Wilton Summer French Camp - Ridgefield Day   Location Fairfield New Canaan Ridgefield Wilton Darien Trumbull Time       Class #4 Maman et Bebe Ourson Coccinelles Lapineaux Lapins Caniches Perroquets Alouettes Franc-O-Femmes Rose I Franc-O-Femmes Rose II Allez en Ville Cooking - Maman et Moi Cooking - weekly drop off Cooking - Le Club - Saturdays Summer French Camp - Wilton Summer French Camp - Ridgefield Day   Location New Canaan Ridgefield Wilton Darien Fairfield Trumbull Time                 Extra Questions   How did you hear about us?   Please choose one... Google Friend Email Advertisement County Kids Kids Events Flyer Poster Newspaper Other   Comments       * fields are mandatory     By Filling out this Regisration Form and clicking the "Submit" button you are giving permission for your child to participate in Franc-O-Fun LLC. classes and you agree that Franc-O-Fun LLC. is not responsible and may not be held liable if your child has an injury during the time he/she is at class.