Kita Sophiechen | 10785 Berlin |

* Mandatory fields

Child's data

First name*

Last Name*

Gender*

Date of birth*

Format: DD.MM.YYYY

Place of birth*

Nationality:*

Primary language spoken at home*

Desired enrolment date*

Format: DD.MM.YYYY

Start date flexible

Others

Additional services (please select)

Gutschein für 4 bis 5 Stunden: Halbtagsförderung

Gutschein für über 5 bis 7 Stunden: Teilzeitförderung

Gutschein für über 7 bis 9 Stunden: Ganztagsförderung

Your details/details of primary contact

Gender*

First Name*

Surname*

Email address*

Phone

Street and house number*

Zipcode *

Location:*

Date of birth

Format: DD.MM.YYYY

Nationality:*

First language*

Type of parent/guardian*

Employer

Job / Profession*

Details of secondary contact person

Gender*

First name*

Surname*

Email address*

Phone

Street and house number*

Zipcode *

Location*

Birthday

Format: DD.MM.YYYY

Nationality:*

Native language*

Type of parent/guardian*

Employer

Job / Profession*

Files

Please drag files here for upload or click to select.

Hiermit bestätige ich die Kenntnisnahme der Allgemeinen Geschäftsbedingungen.

I herewith confirm the acknowledgement of the Data protection policy and accept the corresponding data storage. This acceptance can be revoked at any time.