Formulaire de pré-inscription

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 chez les parents  chez la maman  chez le papa
 
Au sein des structures préscolaires ou parascolaires
 
 
 matin (dès 6h30)  après-midi (jusqu'à 18h30)  journée entière
 
 matin (dès 6h30)  après-midi (jusqu'à 18h30)  journée entière
 
 matin (dès 6h30)  après-midi (jusqu'à 18h30)  journée entière
 
 matin (dès 6h30)  après-midi (jusqu'à 18h30)  journée entière
 
 matin (dès 6h30)  après-midi (jusqu'à 18h30)  journée entière
 
 
 
 
 
Array ( [page] => Array ( [id] => 32 [language] => fr [ismobile] => [device] => desktop [navName] => Formulaire de pré-inscription [menuName] => [title] => Formulaire de pré-inscription [browserlan] => [metatitle] => [metadescr] => [metatags] => [status] => 1 [url] => inscriptions-formulaire-de-pre-inscription [pagemodule] => [datamodule] => [modules] => Array ( [page] => page [standard] => standard [paragraph] => paragraph [text] => text [licence] => licence [form] => form ) [params] => [myparams] => Array ( [bodyClasses] => Array ( [0] => ) ) [parentmyparams] => Array ( [type] => default ) [display] => [eventdata] => [blogdata] => ) [SERVER] => Array ( [USER] => web1 [HOME] => /var/www/clients/client1/web1 [FCGI_ROLE] => RESPONDER [REDIRECT_REDIRECT_STATUS] => 200 [REDIRECT_HANDLER] => php5-fcgi [REDIRECT_STATUS] => 200 [HTTP_CACHE_CONTROL] => no-cache [HTTP_CONNECTION] => Keep-Alive [HTTP_PRAGMA] => no-cache [HTTP_ACCEPT] => */* [HTTP_ACCEPT_ENCODING] => gzip, deflate [HTTP_FROM] => bingbot(at)microsoft.com [HTTP_HOST] => www.garderiepinocchio.ch [HTTP_USER_AGENT] => Mozilla/5.0 (compatible; bingbot/2.0; +http://www.bing.com/bingbot.htm) [PATH] => /usr/local/bin:/usr/bin:/bin [SERVER_SIGNATURE] => [SERVER_SOFTWARE] => Apache [SERVER_NAME] => www.garderiepinocchio.ch [SERVER_ADDR] => 178.79.163.31 [SERVER_PORT] => 80 [REMOTE_ADDR] => 40.77.167.121 [DOCUMENT_ROOT] => /var/www/clients/client1/web1/web [SERVER_ADMIN] => webmaster@kameleo.ch [SCRIPT_FILENAME] => /var/www/clients/client1/web1/web/index.php [REMOTE_PORT] => 22622 [REDIRECT_QUERY_STRING] => language=fr&url=inscriptions-formulaire-de-pre-inscription [REDIRECT_URL] => /index.php [GATEWAY_INTERFACE] => CGI/1.1 [SERVER_PROTOCOL] => HTTP/1.1 [REQUEST_METHOD] => GET [QUERY_STRING] => language=fr&url=inscriptions-formulaire-de-pre-inscription [REQUEST_URI] => /fr/inscriptions-formulaire-de-pre-inscription.html [SCRIPT_NAME] => /index.php [ORIG_SCRIPT_FILENAME] => /var/www/clients/client1/web1/cgi-bin/php5-fcgi-*-80-kameleo.ch [ORIG_PATH_INFO] => /index.php [ORIG_PATH_TRANSLATED] => /var/www/clients/client1/web1/web/index.php [ORIG_SCRIPT_NAME] => /php5-fcgi [PHP_SELF] => /index.php [REQUEST_TIME] => 1544827517 ) [REQUEST] => Array ( [language] => fr [url] => inscriptions-formulaire-de-pre-inscription ) [sitename] => garderiepinocchio.ch [hash] => 799532 [licence] => 696 [isPublisher] => [nav] => Array ( [107] => Array ( [url] => bienvenue-a-pinocchio [vars] => [navName] => Bienvenue à Pinocchio [menuName] => [hasCt] => 1 [params] => Array ( [type] => home ) [title] => Bienvenue à Pinocchio [module] => [status] => 1 ) [3] => Array ( [url] => informations-historique [vars] => [navName] => Informations [menuName] => [hasCt] => [params] => [title] => Informations [module] => [status] => 1 [childs] => Array ( [25] => Array ( [url] => informations-historique [vars] => [navName] => Historique [menuName] => [hasCt] => 1 [params] => [title] => Historique [module] => [status] => 1 [myparams] => ) [26] => Array ( [url] => informations-presentation-de-la-structure [vars] => [navName] => Présentation de la structure [menuName] => [hasCt] => 1 [params] => [title] => Présentation de la structure [module] => [status] => 1 [myparams] => ) [27] => Array ( [url] => informations-equipe-educative [vars] => [navName] => Équipe éducative [menuName] => [hasCt] => 1 [params] => [title] => Équipe éducative [module] => [status] => 1 [myparams] => ) [28] => Array ( [url] => informations-vacances [vars] => [navName] => Vacances [menuName] => [hasCt] => 1 [params] => [title] => Vacances [module] => [status] => 1 [myparams] => ) [29] => Array ( [url] => informations-menus-de-la-semaine [vars] => [navName] => Menus de la semaine [menuName] => [hasCt] => 1 [params] => [title] => Menus de la semaine [module] => [status] => 1 [myparams] => ) ) ) [4] => Array ( [url] => concept [vars] => [navName] => Concept [menuName] => [hasCt] => 1 [params] => [title] => Concept [module] => [status] => 1 [childs] => Array ( [30] => Array ( [url] => concept-concept-de-prise-en-charge [vars] => [navName] => Concept de prise en charge [menuName] => [hasCt] => 1 [params] => Array ( [type] => default ) [title] => Concept de prise en charge [module] => [status] => 1 [myparams] => ) [12] => Array ( [url] => concept-groupe-des-bebes [vars] => [navName] => Groupe des bébés [menuName] => [hasCt] => 1 [params] => Array ( [type] => default ) [title] => Groupe des bébés [module] => [status] => 1 [myparams] => ) [13] => Array ( [url] => concept-groupe-des-trotteurs [vars] => [navName] => Groupe des trotteurs [menuName] => [hasCt] => 1 [params] => Array ( [type] => default ) [title] => Groupe des trotteurs [module] => [status] => 1 [myparams] => ) [31] => Array ( [url] => concept-groupe-des-grands [vars] => [navName] => Groupe des grands [menuName] => [hasCt] => 1 [params] => [title] => Groupe des grands [module] => [status] => 1 [myparams] => ) ) ) [67] => Array ( [url] => fetes-galerie-photos [vars] => [navName] => Fêtes [menuName] => [hasCt] => [params] => Array ( [type] => default ) [title] => Fêtes [module] => [status] => 1 ) [7] => Array ( [url] => inscriptions-formulaire-de-pre-inscription [vars] => [navName] => Inscriptions [menuName] => [hasCt] => [params] => Array ( [type] => default ) [title] => Inscriptions [module] => [status] => 1 [opened] => 1 [childs] => Array ( [32] => Array ( [url] => inscriptions-formulaire-de-pre-inscription [vars] => [navName] => Formulaire de pré-inscription [menuName] => [hasCt] => 1 [params] => [title] => Formulaire de pré-inscription [module] => [status] => 1 [current] => 1 [myparams] => Array ( [type] => default ) ) [33] => Array ( [url] => inscriptions-autres-formulaires [vars] => [navName] => Autres formulaires [menuName] => [hasCt] => 1 [params] => Array ( [type] => default ) [title] => Autres formulaires [module] => [status] => 1 [myparams] => Array ( [type] => default ) ) ) ) [24] => Array ( [url] => liens [vars] => [navName] => Liens [menuName] => [hasCt] => 1 [params] => Array ( [type] => default ) [title] => Liens [module] => [status] => 1 ) [6] => Array ( [url] => contact [vars] => [navName] => Contact [menuName] => [hasCt] => 1 [params] => [title] => Contact [module] => [status] => 1 [childs] => Array ( [8] => Array ( [url] => contact-coordonees [vars] => [navName] => Coordonées [menuName] => [hasCt] => 1 [params] => Array ( [type] => annexe ) [title] => Coordonées [module] => [status] => 1 [myparams] => ) [42] => Array ( [url] => contact-personnes-de-contact [vars] => [navName] => Personnes de contact [menuName] => [hasCt] => 1 [params] => Array ( [type] => default ) [title] => Personnes de contact [module] => [status] => 1 [myparams] => ) [72] => Array ( [url] => contact-horaires [vars] => [navName] => Horaires [menuName] => [hasCt] => 1 [params] => [title] => Horaires [module] => [status] => 1 [myparams] => ) ) ) ) [regions] => Array ( [default] => Array ( [56] => Array ( [fields] => Array ( [Nom, prénom (enfant)] => Array ( [label] => Nom, prénom (enfant) [list] => [type] => text [caption] => ) [Date de naissance] => Array ( [label] => Date de naissance [list] => [type] => text [caption] => ) [Fille] => Array ( [label] => Fille [list] => [type] => radio [caption] => ) [Garçon] => Array ( [label] => Garçon [list] => [type] => radio [caption] => ) [Caisse maladie] => Array ( [label] => Caisse maladie [list] => [type] => text [caption] => ) [N° assuré(e)] => Array ( [label] => N° assuré(e) [list] => [type] => text [caption] => ) [Pédiatre] => Array ( [label] => Pédiatre [list] => [type] => text [caption] => ) [Nom, prénom (mère)] => Array ( [label] => Nom, prénom (mère) [list] => [type] => text [caption] => ) [Nom, prénom (père)] => Array ( [label] => Nom, prénom (père) [list] => [type] => text [caption] => ) [Adresse] => Array ( [label] => Adresse [list] => [type] => text [caption] => ) [NPA, localité] => Array ( [label] => NPA, localité [list] => [type] => text [caption] => ) [Pays] => Array ( [label] => Pays [list] => [type] => text [caption] => ) [Tél. privé] => Array ( [label] => Tél. privé [list] => [type] => text [caption] => ) [Tél. prof] => Array ( [label] => Tél. prof [list] => [type] => text [caption] => ) [Mobile] => Array ( [label] => Mobile [list] => [type] => text [caption] => ) [Courriel] => Array ( [label] => Courriel [list] => [type] => email [caption] => ) [Profession (mère)] => Array ( [label] => Profession (mère) [list] => [type] => text [caption] => ) [Profession (père)] => Array ( [label] => Profession (père) [list] => [type] => text [caption] => ) [L'enfant habite] => Array ( [label] => L'enfant habite [list] => chez les parents chez la maman chez le papa [type] => radio [caption] => ) [Est-ce qu'un frère ou une s?ur est déjà inscrit au sein de l'ASIA ?] => Array ( [label] => Est-ce qu'un frère ou une sœur est déjà inscrit au sein de l'ASIA ? [list] => [caption] => Au sein des structures préscolaires ou parascolaires [type] => text ) [Horaire souhaités] => Array ( [label] => Horaire souhaités [list] => flexible non flexible [type] => select [caption] => ) [Lundi] => Array ( [label] => Lundi [list] => matin (dès 6h30) après-midi (jusqu'à 18h30) journée entière [type] => radio [caption] => ) [Mardi] => Array ( [label] => Mardi [list] => matin (dès 6h30) après-midi (jusqu'à 18h30) journée entière [type] => radio [caption] => ) [Mercredi] => Array ( [label] => Mercredi [list] => matin (dès 6h30) après-midi (jusqu'à 18h30) journée entière [type] => radio [caption] => ) [Jeudi] => Array ( [label] => Jeudi [list] => matin (dès 6h30) après-midi (jusqu'à 18h30) journée entière [type] => radio [caption] => ) [Vendredi] => Array ( [label] => Vendredi [list] => matin (dès 6h30) après-midi (jusqu'à 18h30) journée entière [type] => radio [caption] => ) [Début du placement souhaité dès le] => Array ( [label] => Début du placement souhaité dès le [list] => [type] => text [caption] => ) [Facturation à] => Array ( [label] => Facturation à [list] => [type] => textarea [caption] => ) [Lieu et date] => Array ( [label] => Lieu et date [list] => [type] => text [caption] => ) ) [title] => [destination] => pinocchio@asia-vd.ch [message] => [reference] => [source] => [btsend] => [btreset] => [anchor] => [navName] => [tracking] => [titleVisibility] => [confirmation] => Votre message nous a été transmis. Nous le traiterons dans les plus brefs délais. [parent] => 32 [image] => [type] => form ) ) [droite] => Array ( [10] => Array ( [html] => [title] => Infos Pratiques [datep] => [author] => [myparams] => [image] => [reference] => [source] => [titleVisibility] => [parent] => 0 [type] => text ) ) [fondPage] => Array ( [17] => Array ( [html] =>

Nursery-garderie Pinocchio
pinocchio@asia-vd.ch

[title] => [linkType] => [linkValue] => [linkBlank] => [navName] => [datep] => [author] => [myparams] => [image] => [anchor] => [reference] => [source] => [titleVisibility] => [parent] => 0 [type] => text ) [18] => Array ( [html] =>

Route de Sous-Ville 6B
1580 Avenches

[title] => [datep] => [author] => [myparams] => [image] => [reference] => [source] => [titleVisibility] => [parent] => 0 [type] => text ) [19] => Array ( [html] =>

tel. 026 675 44 62

[title] => [linkType] => [linkValue] => [linkBlank] => [navName] => [datep] => [author] => [myparams] => [image] => [anchor] => [reference] => [source] => [titleVisibility] => [parent] => 0 [type] => text ) ) ) [paragraphs] => Array ( [56] => Array ( [fields] => Array ( [Nom, prénom (enfant)] => Array ( [label] => Nom, prénom (enfant) [list] => [type] => text [caption] => ) [Date de naissance] => Array ( [label] => Date de naissance [list] => [type] => text [caption] => ) [Fille] => Array ( [label] => Fille [list] => [type] => radio [caption] => ) [Garçon] => Array ( [label] => Garçon [list] => [type] => radio [caption] => ) [Caisse maladie] => Array ( [label] => Caisse maladie [list] => [type] => text [caption] => ) [N° assuré(e)] => Array ( [label] => N° assuré(e) [list] => [type] => text [caption] => ) [Pédiatre] => Array ( [label] => Pédiatre [list] => [type] => text [caption] => ) [Nom, prénom (mère)] => Array ( [label] => Nom, prénom (mère) [list] => [type] => text [caption] => ) [Nom, prénom (père)] => Array ( [label] => Nom, prénom (père) [list] => [type] => text [caption] => ) [Adresse] => Array ( [label] => Adresse [list] => [type] => text [caption] => ) [NPA, localité] => Array ( [label] => NPA, localité [list] => [type] => text [caption] => ) [Pays] => Array ( [label] => Pays [list] => [type] => text [caption] => ) [Tél. privé] => Array ( [label] => Tél. privé [list] => [type] => text [caption] => ) [Tél. prof] => Array ( [label] => Tél. prof [list] => [type] => text [caption] => ) [Mobile] => Array ( [label] => Mobile [list] => [type] => text [caption] => ) [Courriel] => Array ( [label] => Courriel [list] => [type] => email [caption] => ) [Profession (mère)] => Array ( [label] => Profession (mère) [list] => [type] => text [caption] => ) [Profession (père)] => Array ( [label] => Profession (père) [list] => [type] => text [caption] => ) [L'enfant habite] => Array ( [label] => L'enfant habite [list] => chez les parents chez la maman chez le papa [type] => radio [caption] => ) [Est-ce qu'un frère ou une s?ur est déjà inscrit au sein de l'ASIA ?] => Array ( [label] => Est-ce qu'un frère ou une sœur est déjà inscrit au sein de l'ASIA ? [list] => [caption] => Au sein des structures préscolaires ou parascolaires [type] => text ) [Horaire souhaités] => Array ( [label] => Horaire souhaités [list] => flexible non flexible [type] => select [caption] => ) [Lundi] => Array ( [label] => Lundi [list] => matin (dès 6h30) après-midi (jusqu'à 18h30) journée entière [type] => radio [caption] => ) [Mardi] => Array ( [label] => Mardi [list] => matin (dès 6h30) après-midi (jusqu'à 18h30) journée entière [type] => radio [caption] => ) [Mercredi] => Array ( [label] => Mercredi [list] => matin (dès 6h30) après-midi (jusqu'à 18h30) journée entière [type] => radio [caption] => ) [Jeudi] => Array ( [label] => Jeudi [list] => matin (dès 6h30) après-midi (jusqu'à 18h30) journée entière [type] => radio [caption] => ) [Vendredi] => Array ( [label] => Vendredi [list] => matin (dès 6h30) après-midi (jusqu'à 18h30) journée entière [type] => radio [caption] => ) [Début du placement souhaité dès le] => Array ( [label] => Début du placement souhaité dès le [list] => [type] => text [caption] => ) [Facturation à] => Array ( [label] => Facturation à [list] => [type] => textarea [caption] => ) [Lieu et date] => Array ( [label] => Lieu et date [list] => [type] => text [caption] => ) ) [title] => [destination] => pinocchio@asia-vd.ch [message] => [reference] => [source] => [btsend] => [btreset] => [anchor] => [navName] => [tracking] => [titleVisibility] => [confirmation] => Votre message nous a été transmis. Nous le traiterons dans les plus brefs délais. [parent] => 32 [image] => [type] => form ) ) [fixed] => Array ( [fondPage] => Array ( [html] =>

tel. 026 675 44 62

[title] => [linkType] => [linkValue] => [linkBlank] => [navName] => [datep] => [author] => [myparams] => [image] => [anchor] => [reference] => [source] => [titleVisibility] => [type] => text [id] => 19 ) [droite] => Array ( [html] => [title] => Infos Pratiques [datep] => [author] => [myparams] => [image] => [reference] => [source] => [titleVisibility] => [type] => text [id] => 10 ) ) [site] => Array ( [domain] => garderiepinocchio.ch [folder] => pinocchio.ch [mobilecss] => /data/standards/css/mobileW.css ) [links] => Array ( [33] => inscriptions-autres-formulaires [32] => inscriptions-formulaire-de-pre-inscription [29] => informations-menus-de-la-semaine [30] => concept-concept-de-prise-en-charge [31] => concept-groupe-des-grands [67] => fetes [107] => bienvenue-a-pinocchio [3] => informations [4] => concept [6] => contact [7] => inscriptions [8] => contact-coordonees [12] => concept-groupe-des-bebes [13] => concept-groupe-des-trotteurs [72] => contact-horaires [39] => fetes-fetes-avec-les-familles [40] => fetes-sorties [42] => contact-personnes-de-contact [129] => fetes-galerie-photos [24] => liens [25] => informations-historique [26] => informations-presentation-de-la-structure [27] => informations-equipe-educative [28] => informations-vacances ) )

Inscriptions

Infos Pratiques

 
 
 

Nursery-garderie Pinocchio
pinocchio@asia-vd.ch

 

Route de Sous-Ville 6B
1580 Avenches

 

tel. 026 675 44 62

 
 
www.commune-avenches.ch