Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Parent / Teacher informationNameE-mailPhone *Which service would you like to register for? *I am a parent, I want to register a studentI am a teacherStudent informationStudent Name *FirstLast / Service Student AllergiesStudent Level Class *Please chooseKindergartenPrimarySecondaryStudent Class *Please chooseCPCE1CE2CM1CM2Student Class *Please choose6eme5eme4eme3eme2nde1ereTerminaleService RegitrationHow would you like to register? *I want to register for all days of the monthI want to select specific days for the monthMon-30 Mon-30 Tue-01 Tue-01 Wed-02 Wed-02 Thu-03 Thu-03 Fri-04 HOLIDAYS Total AmountNumber of days selectedMeal Price / Day - KindergartenPrice: ₦5.000,00Meal Price / Day - PrimaryPrice: ₦7.000,00Meal Price / Day - TeacherPrice: ₦9.000,00Meal Price / Day - Secondary (Collège)Price: ₦8.000,00Meal Price / Day - Secondary (Lycée)Price: ₦9.000,00PricePrice: ₦0,00PaymentPayment transfer must be sent to: Grace HSC Delicatessen 5400929696 PROVIDUS Bank Kindly send proof of payment to info@noirrestaurant-catering.com Please mention Order N° and Name Certification *I hereby certify that the information given above is accurate and complete.Submit