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Pencil cost Operation
Pencil cost Operation
etienne
2022-04-29T10:53:02-04:00
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1
Beneficiary
2
Revenues
3
Expenses
4
Child/Children
Informations
Total number of people
*
Number of beneficiary's children
*
Full name
*
Phone home
*
Cell phone
Email
Spouse's full name
Address
*
Appartment
Postal code
*
Town
*
Laval
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Auteuil
Chomedey
Duvernay
Fabreville-Est
Fabreville-Ouest
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Laval-Ouest
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Heating
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Child/Children
(Ages
4 to 17 primary or secondary level only
) ** Enter the school year of your child in
September 2022
**
First name
Class
Special class
Name of the school
Level
School service center
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PRIVACY OF PERSONAL INFORMATION *
The Centre de bénévolat et moisson Laval is committed to ensuring the confidentiality of your personal information. Do you authorize the Centre de bénévolat et moisson Laval to keep your data for reference purposes for another program or for a future request for support?
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Do you participate in a program concerning assistance with school entry elsewhere?
Yes
Have you participated in our program before?
Yes
If so, which years?
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