Pre-registration Form 2022 - Leucan Halloween money boxes

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Complete the form to confirm your participation for the 2022 edition of the Leucan Halloween Campaign!

Name of the establishment*
Address of the establishment*
Street address Stress adress line 2 City Province Postal code
Telephone*
Telephone extension
Choose your Leucan regional office*
Name of the contact person at the establishment*
First name Last name
Professional title*
Email*
Email of the establishment
Has a child or family at your establishment received Leucan's services?*
- Yes
- No
- I don't know
Name of child:
Siblings:
New: start the school year with Classcraft
I consent to Leucan sharing my email address with Classcraft so that I can receive my free trial
Classcraft is a platform that makes classroom management easier for teachers and motivates students to reach their full potential. The platform's collaborative and fun experiences will be available until November 15 for schools that register to participate in Leucan's Halloween Campaign.