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Micro-creche    
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<p>Regardez votre enfant s'épanouir!</p>
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<a href="/article.asp?aid=2046123" class="parent">crèche en image</a>
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			<h1 class="article-header__title js-article-title js-page-title">préinscription</h1>
		
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            Préinscription à la micro-crèche
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                    <option value="Hong Kong"> Hong Kong </option>
                    <option value="Hungary"> Hungary </option>
                    <option value="Iceland"> Iceland </option>
                    <option value="India"> India </option>
                    <option value="Indonesia"> Indonesia </option>
                    <option value="Iran"> Iran </option>
                    <option value="Iraq"> Iraq </option>
                    <option value="Ireland"> Ireland </option>
                    <option value="Israel"> Israel </option>
                    <option value="Italy"> Italy </option>
                    <option value="Jamaica"> Jamaica </option>
                    <option value="Japan"> Japan </option>
                    <option value="Jersey"> Jersey </option>
                    <option value="Jordan"> Jordan </option>
                    <option value="Kazakhstan"> Kazakhstan </option>
                    <option value="Kenya"> Kenya </option>
                    <option value="Kiribati"> Kiribati </option>
                    <option value="North Korea"> North Korea </option>
                    <option value="South Korea"> South Korea </option>
                    <option value="Kosovo"> Kosovo </option>
                    <option value="Kuwait"> Kuwait </option>
                    <option value="Kyrgyzstan"> Kyrgyzstan </option>
                    <option value="Laos"> Laos </option>
                    <option value="Latvia"> Latvia </option>
                    <option value="Lebanon"> Lebanon </option>
                    <option value="Lesotho"> Lesotho </option>
                    <option value="Liberia"> Liberia </option>
                    <option value="Libya"> Libya </option>
                    <option value="Liechtenstein"> Liechtenstein </option>
                    <option value="Lithuania"> Lithuania </option>
                    <option value="Luxembourg"> Luxembourg </option>
                    <option value="Macau"> Macau </option>
                    <option value="Macedonia"> Macedonia </option>
                    <option value="Madagascar"> Madagascar </option>
                    <option value="Malawi"> Malawi </option>
                    <option value="Malaysia"> Malaysia </option>
                    <option value="Maldives"> Maldives </option>
                    <option value="Mali"> Mali </option>
                    <option value="Malta"> Malta </option>
                    <option value="Marshall Islands"> Marshall Islands </option>
                    <option value="Martinique"> Martinique </option>
                    <option value="Mauritania"> Mauritania </option>
                    <option value="Mauritius"> Mauritius </option>
                    <option value="Mayotte"> Mayotte </option>
                    <option value="Mexico"> Mexico </option>
                    <option value="Micronesia"> Micronesia </option>
                    <option value="Moldova"> Moldova </option>
                    <option value="Monaco"> Monaco </option>
                    <option value="Mongolia"> Mongolia </option>
                    <option value="Montenegro"> Montenegro </option>
                    <option value="Montserrat"> Montserrat </option>
                    <option value="Morocco"> Morocco </option>
                    <option value="Mozambique"> Mozambique </option>
                    <option value="Myanmar"> Myanmar </option>
                    <option value="Namibia"> Namibia </option>
                    <option value="Nauru"> Nauru </option>
                    <option value="Nepal"> Nepal </option>
                    <option value="Netherlands"> Netherlands </option>
                    <option value="New Caledonia"> New Caledonia </option>
                    <option value="New Zealand"> New Zealand </option>
                    <option value="Nicaragua"> Nicaragua </option>
                    <option value="Niger"> Niger </option>
                    <option value="Nigeria"> Nigeria </option>
                    <option value="Niue"> Niue </option>
                    <option value="Norfolk Island"> Norfolk Island </option>
                    <option value="Northern Mariana"> Northern Mariana </option>
                    <option value="Norway"> Norway </option>
                    <option value="Oman"> Oman </option>
                    <option value="Pakistan"> Pakistan </option>
                    <option value="Palau"> Palau </option>
                    <option value="Panama"> Panama </option>
                    <option value="Papua New Guinea"> Papua New Guinea </option>
                    <option value="Paraguay"> Paraguay </option>
                    <option value="Peru"> Peru </option>
                    <option value="Philippines"> Philippines </option>
                    <option value="Pitcairn Islands"> Pitcairn Islands </option>
                    <option value="Poland"> Poland </option>
                    <option value="Portugal"> Portugal </option>
                    <option value="Puerto Rico"> Puerto Rico </option>
                    <option value="Qatar"> Qatar </option>
                    <option value="Romania"> Romania </option>
                    <option value="Russia"> Russia </option>
                    <option value="Rwanda"> Rwanda </option>
                    <option value="Saint Barthelemy"> Saint Barthelemy </option>
                    <option value="Saint Helena"> Saint Helena </option>
                    <option value="Saint Kitts and Nevis"> Saint Kitts and Nevis </option>
                    <option value="Saint Lucia"> Saint Lucia </option>
                    <option value="Saint Martin"> Saint Martin </option>
                    <option value="Saint Pierre and Miquelon"> Saint Pierre and Miquelon </option>
                    <option value="Saint Vincent and the Grenadines"> Saint Vincent and the Grenadines </option>
                    <option value="Samoa"> Samoa </option>
                    <option value="San Marino"> San Marino </option>
                    <option value="Sao Tome and Principe"> Sao Tome and Principe </option>
                    <option value="Saudi Arabia"> Saudi Arabia </option>
                    <option value="Senegal"> Senegal </option>
                    <option value="Serbia"> Serbia </option>
                    <option value="Seychelles"> Seychelles </option>
                    <option value="Sierra Leone"> Sierra Leone </option>
                    <option value="Singapore"> Singapore </option>
                    <option value="Slovakia"> Slovakia </option>
                    <option value="Slovenia"> Slovenia </option>
                    <option value="Solomon Islands"> Solomon Islands </option>
                    <option value="Somalia"> Somalia </option>
                    <option value="Somaliland"> Somaliland </option>
                    <option value="South Africa"> South Africa </option>
                    <option value="South Ossetia"> South Ossetia </option>
                    <option value="Spain"> Spain </option>
                    <option value="Sri Lanka"> Sri Lanka </option>
                    <option value="Sudan"> Sudan </option>
                    <option value="Suriname"> Suriname </option>
                    <option value="Svalbard"> Svalbard </option>
                    <option value="Sweden"> Sweden </option>
                    <option value="Switzerland"> Switzerland </option>
                    <option value="Syria"> Syria </option>
                    <option value="Taiwan"> Taiwan </option>
                    <option value="Tajikistan"> Tajikistan </option>
                    <option value="Tanzania"> Tanzania </option>
                    <option value="Thailand"> Thailand </option>
                    <option value="Timor-Leste"> Timor-Leste </option>
                    <option value="Togo"> Togo </option>
                    <option value="Tokelau"> Tokelau </option>
                    <option value="Tonga"> Tonga </option>
                    <option value="Trinidad and Tobago"> Trinidad and Tobago </option>
                    <option value="Tristan da Cunha"> Tristan da Cunha </option>
                    <option value="Tunisia"> Tunisia </option>
                    <option value="Turkey"> Turkey </option>
                    <option value="Turkmenistan"> Turkmenistan </option>
                    <option value="Turks and Caicos Islands"> Turks and Caicos Islands </option>
                    <option value="Tuvalu"> Tuvalu </option>
                    <option value="Uganda"> Uganda </option>
                    <option value="Ukraine"> Ukraine </option>
                    <option value="United Arab Emirates"> United Arab Emirates </option>
                    <option value="United Kingdom"> United Kingdom </option>
                    <option value="Uruguay"> Uruguay </option>
                    <option value="Uzbekistan"> Uzbekistan </option>
                    <option value="Vanuatu"> Vanuatu </option>
                    <option value="Vatican City"> Vatican City </option>
                    <option value="Venezuela"> Venezuela </option>
                    <option value="Vietnam"> Vietnam </option>
                    <option value="British Virgin Islands"> British Virgin Islands </option>
                    <option value="US Virgin Islands"> US Virgin Islands </option>
                    <option value="Wallis and Futuna"> Wallis and Futuna </option>
                    <option value="Western Sahara"> Western Sahara </option>
                    <option value="Yemen"> Yemen </option>
                    <option value="Zambia"> Zambia </option>
                    <option value="Zimbabwe"> Zimbabwe </option>
                    <option value="other"> Other </option>
                  </select>
                  <label class="form-sub-label" for="input_31_country" id="sublabel_31_country"> pays </label></span>
              </td>
            </tr>
          </tbody></table>
        </div>
      </li>
      <li class="form-line" id="id_32">
        <div class="form-label-left" id="label_32">
          <label for="input_32">
            telephone fixe<span class="form-required">*</span>
          </label>
          <label class="label-message" for="input_32">  </label>
        </div>
        <div id="cid_32" class="form-input">
          <div class="dir_ltr"><span class="form-sub-label-container"><input data-type="mask-number" class="mask-phone-number form-textbox validate[required]" type="tel" name="q32_phoneNumber[full]" id="input_32_full" autocomplete="off" />
              <label class="form-sub-label" for="input_32_full"><span> </span>
              </label></span>
          </div>
        </div>
      </li>
      <li class="form-line" id="id_33">
        <div class="form-label-left" id="label_33">
          <label for="input_33">
            telephone portable<span class="form-required">*</span>
          </label>
          <label class="label-message" for="input_33">  </label>
        </div>
        <div id="cid_33" class="form-input">
          <div class="dir_ltr"><span class="form-sub-label-container"><input data-type="mask-number" class="mask-phone-number form-textbox validate[required]" type="tel" name="q33_phoneNumber33[full]" id="input_33_full" autocomplete="off" />
              <label class="form-sub-label" for="input_33_full"><span> </span>
              </label></span>
          </div>
        </div>
      </li>
      <li class="form-line" id="id_34">
        <div class="form-label-left" id="label_34">
          <label for="input_34">
            E-mail<span class="form-required">*</span>
          </label>
          <label class="label-message" for="input_34">  </label>
        </div>
        <div id="cid_34" class="form-input">
          <input type="email" class=" form-textbox validate[required, Email]" id="input_34" name="q34_email" size="30" value="" />
        </div>
      </li>
      <li class="form-line" id="id_35">
        <div id="cid_35" class="form-input-wide">
          <div id="text_35" class="form-html">
            <p>
              Votre enfant &gt;&gt;&gt;
            </p>
          </div>
        </div>
      </li>
      <li class="form-line" id="id_36">
        <div class="form-label-left" id="label_36">
          <label for="input_36">
            prénom et nom complet<span class="form-required">*</span>
          </label>
          <label class="label-message" for="input_36">  </label>
        </div>
        <div id="cid_36" class="form-input"><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="10" name="q36_fullName[first]" id="first_36" />
            <label class="form-sub-label" for="first_36" id="sublabel_first"> prénom </label></span><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="15" name="q36_fullName[last]" id="last_36" />
            <label class="form-sub-label" for="last_36" id="sublabel_last"> nom </label></span>
        </div>
      </li>
      <li class="form-line" id="id_6">
        <div class="form-label-left" id="label_6">
          <label for="input_6">
            date de naissance<span class="form-required">*</span>
          </label>
          <label class="label-message" for="input_6">  </label>
        </div>
        <div id="cid_6" class="form-input">
          <div class="dir_ltr"><span class="form-sub-label-container"><select class="form-dropdown validate[required]" name="q6_birthDate6[day]" id="input_6_day">
                <option>  </option>
                <option value="1"> 1 </option>
                <option value="2"> 2 </option>
                <option value="3"> 3 </option>
                <option value="4"> 4 </option>
                <option value="5"> 5 </option>
                <option value="6"> 6 </option>
                <option value="7"> 7 </option>
                <option value="8"> 8 </option>
                <option value="9"> 9 </option>
                <option value="10"> 10 </option>
                <option value="11"> 11 </option>
                <option value="12"> 12 </option>
                <option value="13"> 13 </option>
                <option value="14"> 14 </option>
                <option value="15"> 15 </option>
                <option value="16"> 16 </option>
                <option value="17"> 17 </option>
                <option value="18"> 18 </option>
                <option value="19"> 19 </option>
                <option value="20"> 20 </option>
                <option value="21"> 21 </option>
                <option value="22"> 22 </option>
                <option value="23"> 23 </option>
                <option value="24"> 24 </option>
                <option value="25"> 25 </option>
                <option value="26"> 26 </option>
                <option value="27"> 27 </option>
                <option value="28"> 28 </option>
                <option value="29"> 29 </option>
                <option value="30"> 30 </option>
                <option value="31"> 31 </option>
              </select>
              <label class="form-sub-label" for="input_6_day" id="sublabel_day"> jour </label></span><span class="form-sub-label-container"><select class="form-dropdown validate[required]" name="q6_birthDate6[month]" id="input_6_month">
                <option>  </option>
                <option value="1"> 1 - January </option>
                <option value="2"> 2 - February </option>
                <option value="3"> 3 - March </option>
                <option value="4"> 4 - April </option>
                <option value="5"> 5 - May </option>
                <option value="6"> 6 - June </option>
                <option value="7"> 7 - July </option>
                <option value="8"> 8 - August </option>
                <option value="9"> 9 - September </option>
                <option value="10"> 10 - October </option>
                <option value="11"> 11 - November </option>
                <option value="12"> 12 - December </option>
              </select>
              <label class="form-sub-label" for="input_6_month" id="sublabel_month"> mois </label></span><span class="form-sub-label-container"><select class="form-dropdown validate[required]" name="q6_birthDate6[year]" id="input_6_year">
                <option>  </option>
                <option value="2020"> 2020 </option>
                <option value="2019"> 2019 </option>
                <option value="2018"> 2018 </option>
                <option value="2017"> 2017 </option>
                <option value="2016"> 2016 </option>
                <option value="2015"> 2015 </option>
                <option value="2014"> 2014 </option>
                <option value="2013"> 2013 </option>
                <option value="2012"> 2012 </option>
                <option value="2011"> 2011 </option>
                <option value="2010"> 2010 </option>
                <option value="2009"> 2009 </option>
                <option value="2008"> 2008 </option>
                <option value="2007"> 2007 </option>
                <option value="2006"> 2006 </option>
                <option value="2005"> 2005 </option>
                <option value="2004"> 2004 </option>
                <option value="2003"> 2003 </option>
                <option value="2002"> 2002 </option>
                <option value="2001"> 2001 </option>
                <option value="2000"> 2000 </option>
                <option value="1999"> 1999 </option>
                <option value="1998"> 1998 </option>
                <option value="1997"> 1997 </option>
                <option value="1996"> 1996 </option>
                <option value="1995"> 1995 </option>
                <option value="1994"> 1994 </option>
                <option value="1993"> 1993 </option>
                <option value="1992"> 1992 </option>
                <option value="1991"> 1991 </option>
                <option value="1990"> 1990 </option>
                <option value="1989"> 1989 </option>
                <option value="1988"> 1988 </option>
                <option value="1987"> 1987 </option>
                <option value="1986"> 1986 </option>
                <option value="1985"> 1985 </option>
                <option value="1984"> 1984 </option>
                <option value="1983"> 1983 </option>
                <option value="1982"> 1982 </option>
                <option value="1981"> 1981 </option>
                <option value="1980"> 1980 </option>
                <option value="1979"> 1979 </option>
                <option value="1978"> 1978 </option>
                <option value="1977"> 1977 </option>
                <option value="1976"> 1976 </option>
                <option value="1975"> 1975 </option>
                <option value="1974"> 1974 </option>
                <option value="1973"> 1973 </option>
                <option value="1972"> 1972 </option>
                <option value="1971"> 1971 </option>
                <option value="1970"> 1970 </option>
                <option value="1969"> 1969 </option>
                <option value="1968"> 1968 </option>
                <option value="1967"> 1967 </option>
                <option value="1966"> 1966 </option>
                <option value="1965"> 1965 </option>
                <option value="1964"> 1964 </option>
                <option value="1963"> 1963 </option>
                <option value="1962"> 1962 </option>
                <option value="1961"> 1961 </option>
                <option value="1960"> 1960 </option>
                <option value="1959"> 1959 </option>
                <option value="1958"> 1958 </option>
                <option value="1957"> 1957 </option>
                <option value="1956"> 1956 </option>
                <option value="1955"> 1955 </option>
                <option value="1954"> 1954 </option>
                <option value="1953"> 1953 </option>
                <option value="1952"> 1952 </option>
                <option value="1951"> 1951 </option>
                <option value="1950"> 1950 </option>
                <option value="1949"> 1949 </option>
                <option value="1948"> 1948 </option>
                <option value="1947"> 1947 </option>
                <option value="1946"> 1946 </option>
                <option value="1945"> 1945 </option>
                <option value="1944"> 1944 </option>
                <option value="1943"> 1943 </option>
                <option value="1942"> 1942 </option>
                <option value="1941"> 1941 </option>
                <option value="1940"> 1940 </option>
                <option value="1939"> 1939 </option>
                <option value="1938"> 1938 </option>
                <option value="1937"> 1937 </option>
                <option value="1936"> 1936 </option>
                <option value="1935"> 1935 </option>
                <option value="1934"> 1934 </option>
                <option value="1933"> 1933 </option>
                <option value="1932"> 1932 </option>
                <option value="1931"> 1931 </option>
                <option value="1930"> 1930 </option>
                <option value="1929"> 1929 </option>
                <option value="1928"> 1928 </option>
                <option value="1927"> 1927 </option>
                <option value="1926"> 1926 </option>
                <option value="1925"> 1925 </option>
                <option value="1924"> 1924 </option>
                <option value="1923"> 1923 </option>
                <option value="1922"> 1922 </option>
                <option value="1921"> 1921 </option>
                <option value="1920"> 1920 </option>
              </select>
              <label class="form-sub-label" for="input_6_year" id="sublabel_year"> année </label></span>
          </div>
        </div>
      </li>
      <li class="form-line" id="id_37">
        <div class="form-label-left" id="label_37">
          <label for="input_37">
            date d'entrée souhaité<span class="form-required">*</span>
          </label>
          <label class="label-message" for="input_37">  </label>
        </div>
        <div id="cid_37" class="form-input">
          <div class="dir_ltr"><span class="form-sub-label-container"><input class="form-textbox validate[required]" id="day_37" name="q37_input37[day]" type="tel" size="2" maxlength="2" value="26" />
              <label class="form-sub-label" for="day_37" id="sublabel_day"> jj </label></span><span class="form-sub-label-container"><input class="form-textbox validate[required]" id="month_37" name="q37_input37[month]" type="tel" size="2" maxlength="2" value="08" />
              <label class="form-sub-label" for="month_37" id="sublabel_month"> mm </label></span><span class="form-sub-label-container"><input class="form-textbox validate[required]" id="year_37" name="q37_input37[year]" type="tel" size="4" maxlength="4" value="2020" />
              <label class="form-sub-label" for="year_37" id="sublabel_year"> yyyy </label></span>
          </div><span class="form-sub-label-container"><img class="showAutoCalendar" alt="Pick a Date" id="input_37_pick" src="https://w2.chabad.org/images/sitecontrol/formbuilder/calendar.png" align="absmiddle" />
            <label class="form-sub-label" for="input_37_pick"><span> </span>
            </label></span>
        </div>
      </li>
      <li class="form-line" id="id_38">
        <div class="form-label-left" id="label_38">
          <label for="input_38">
            jours souhaités<span class="form-required">*</span>
          </label>
          <label class="label-message" for="input_38">  </label>
        </div>
        <div id="cid_38" class="form-input">
          <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox validate[required, minSelection]" data-minselection="1" id="input_38_0" name="q38_input38[]" value="lundi" />
              <label id="label_input_38_0" for="input_38_0"><span>lundi</span>
              </label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox validate[required, minSelection]" data-minselection="1" id="input_38_1" name="q38_input38[]" value="mardi" />
              <label id="label_input_38_1" for="input_38_1"><span>mardi</span>
              </label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox validate[required, minSelection]" data-minselection="1" id="input_38_2" name="q38_input38[]" value="mercredi" />
              <label id="label_input_38_2" for="input_38_2"><span>mercredi</span>
              </label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox validate[required, minSelection]" data-minselection="1" id="input_38_3" name="q38_input38[]" value="jeudi" />
              <label id="label_input_38_3" for="input_38_3"><span>jeudi</span>
              </label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox validate[required, minSelection]" data-minselection="1" id="input_38_4" name="q38_input38[]" value="vendredi" />
              <label id="label_input_38_4" for="input_38_4"><span>vendredi</span>
              </label></span><span class="clearfix"></span>
          </div>
        </div>
      </li>
      <li class="form-line" id="id_8">
        <div class="form-label-left" id="label_8">
          <label for="input_8">
            horaires souhaités<span class="form-required">*</span>
          </label>
          <label class="label-message" for="input_8">  </label>
        </div>
        <div id="cid_8" class="form-input">
          <input type="text" class=" form-textbox validate[required]" data-type="input-textbox" id="input_8" name="q8_school" size="20" value="" />
        </div>
      </li>
      <li class="form-line" id="id_12">
        <div class="form-label-left" id="label_12">
          <label for="input_12"> votre message </label>
          <label class="label-message" for="input_12">  </label>
        </div>
        <div id="cid_12" class="form-input">
          <textarea id="input_12" class="form-textarea" name="q12_additionalNotable12" cols="59" rows="6"></textarea>
        </div>
      </li>
      <li id="cid_25" class="form-input-wide">
        <div class="form-header-group">
          <h2 id="header_25" class="form-header">
            information sur les parents
          </h2>
        </div>
      </li>
      <li class="form-line" id="id_3">
        <div class="form-label-left" id="label_3">
          <label for="input_3">
            nom du père<span class="form-required">*</span>
          </label>
          <label class="label-message" for="input_3">  </label>
        </div>
        <div id="cid_3" class="form-input"><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="10" name="q3_fathersName[first]" id="first_3" />
            <label class="form-sub-label" for="first_3" id="sublabel_first"> prénom </label></span><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="15" name="q3_fathersName[last]" id="last_3" />
            <label class="form-sub-label" for="last_3" id="sublabel_last"> nom </label></span>
        </div>
      </li>
      <li class="form-line" id="id_22">
        <div class="form-label-left" id="label_22">
          <label for="input_22">
            numero du père<span class="form-required">*</span>
          </label>
          <label class="label-message" for="input_22">  </label>
        </div>
        <div id="cid_22" class="form-input">
          <div class="dir_ltr"><span class="form-sub-label-container"><input data-type="mask-number" class="mask-phone-number form-textbox validate[required]" type="tel" name="q22_fatherCell[full]" id="input_22_full" autocomplete="off" />
              <label class="form-sub-label" for="input_22_full"><span> </span>
              </label></span>
          </div>
        </div>
      </li>
      <li class="form-line" id="id_4">
        <div class="form-label-left" id="label_4">
          <label for="input_4">
            nom de la mère<span class="form-required">*</span>
          </label>
          <label class="label-message" for="input_4">  </label>
        </div>
        <div id="cid_4" class="form-input"><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="10" name="q4_mothersName[first]" id="first_4" />
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