Your data contains unauthorised values.
* Mandatory fields
Child's data
First name
*
Last Name
*
Gender
*
-- Please Select --
male
female
diverse
Unknown
Date of birth
*
Format: DD.MM.YYYY
Desired enrolment date
*
Format: DD.MM.YYYY
Start date flexible
Siblings
Desired care type
-- Please Select --
Kita 30
Kita 40
Kita 50
Kita 60
Krippe 30
Krippe 40
Krippe 50
Krippe 60
Vorschule
Others
Your details/details of primary contact
Gender
*
-- Please Select --
male
female
diverse
Unspecified
First Name
*
Surname
*
Email address
*
Phone
*
Street and house number
*
Zipcode
*
Location:
*
Employer
Job / Profession
Details of secondary contact person
Gender
*
-- Please Select --
male
female
diverse
Unspecified
First name
*
Surname
*
Email address
*
Phone
*
Street and house number
*
Zipcode
*
Location
*
Employer
Job / Profession
Files
Please drag files here for upload or click to select.
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.
I herewith confirm the acknowledgement of the
Data protection policy
and accept the corresponding data storage. This acceptance can be revoked at any time.
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