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* Mandatory fields
Child's data
First name
*
Last Name
*
Gender
*
-- Please Select --
male
female
diverse
Unknown
Date of birth
*
Format: DD.MM.YYYY
Recommended by
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Internet
keine Angabe
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Sonstiges
Veranstaltungen
Desired enrolment date
*
Format: DD.MM.YYYY
Start date flexible
Others
Profile image
Additional services (please select)
Ganztagsplatz Kiga
Krippenplatz
Verlängerte Öffnungszeiten Kiga
Your details/details of primary contact
First Name
*
Surname
*
Email address
*
Phone
*
Street and house number
*
Zipcode
*
Location:
*
Profile Picture
Type of parent/guardian
*
-- Please Select --
Mother
Father
Nanny
Spouse (m) of mother
Spouse (f) of father
Spouse (f) of mother
Spouse (m) of father
Foster mother
Foster father
Stepmother
Stepfather
Grandfather
Grandmother
Sister
Brother
Aunt
Uncle
Friends
Other
Employer
*
Details of secondary contact person
First name
*
Surname
*
Email address
*
Phone
*
Street and house number
*
Zipcode
*
Location
*
Profile Picture
Type of parent/guardian
*
-- Please Select --
Mother
Father
Nanny
Spouse (m) of mother
Spouse (f) of father
Spouse (f) of mother
Spouse (m) of father
Foster mother
Foster father
Stepmother
Stepfather
Grandfather
Grandmother
Sister
Brother
Aunt
Uncle
Friends
Other
Employer
*
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