Registration / Contact us - Molière et Copernic Learning Center

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Registration / Contact us
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About us
Fr

Home
Services
Registration / Contact us
Professionals
Sanitary measures
Educational games for sale
About us
Fr

Contact us

Contact us

Email:

molierecopernic@gmail.com

Phone number:

450 631-9441

Our opening hours

Monday to Friday (Coteau-du-Lac & Vaudreuil) :
9 AM to 9 PM (on appointments only)

Saturday & Sunday (Coteau-du-Lac & Vaudreuil) :
9 AM to 4 PM (on appointments only)

Our office in Coteau-du-Lac

Address:

94, route 338

City:

Coteau-du-Lac

Postal code:

J0P 1B0

Parking available

Our office in Vaudreuil-Dorion

Address:

458, ave. St-Charles, bureau 201

City

Vaudreuil-Dorion

Postal code

J7V 2N5

Above the Malboeuf Dental Center

General registration

Web page on which the form was completed
Student's name*
First Last
Date de naissance*
What is the reason for your consultation?*
- Orthopedagogy
- Primary school tutoring
- High school or college tutoring
- Psychoéducation
- Psychologie (Coteau-Du-Lac seulement) S.v.p spécifiez le motif de consultation dans les commentaires.
- Évaluation trouble spécifique des apprentissages (dyslexie, dysorthographie et dyscalculie)
- Évaluation trouble déficit de l'attention/hyperactivité (TDAH)
- Évaluation trouble du spectre de l'autisme (TSA)
- Tutorat en français EUF et TECFÉE
- Ergothérapie (Coteau-du-Lac)
- Zoothérapie
- Nutrition pédiatrique
For which specialties would you like to be tutored?*
- Français
- Mathématiques
- Sciences
- History
- English
Select the student's level*
Specify from which level*
What school do you attend?*
What is the name of the teacher who teaches the subject for which you are requesting a service?*
Avez-vous des assurances avec Construction en santé de Medic Construction ?
- Oui
- Non
- Je ne sais pas
Avez-vous déjà eu un suivi d'au moins six mois en orthopédagogie ?
- Oui
- Non
Where would you like to receive our services?*
- Coteau-du-Lac
- Vaudreuil-Dorion
- Online

Name of the parent(s) to whom the receipt will be issued

Your mailing address
Street Address City Province Postal Code
Your phone number*
Numéro de cellulaire
Your email address
What are your availabilities for meetings with the professional?*
Have you ever attended one of our Centers?*
Comments / other information you consider relevant
Where did you hear about us?
- Facebook
- Google
- Instagram
- Website
- Poster on the street
- Referral from a client
- Referral from a center professional
- Recommendation from your school


Site Web par Marc-Olivier Gagné Marketing