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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
Desired enrolment date
*
Format: DD.MM.YYYY
Siblings
Others
Desired careplan (please select)
Dienstag 1./2. Klasse 11:45 bis 15:15 Uhr
Dienstag 3./4. Klasse 12:45 bis 15:15 Uhr
Donnerstag 1./2. Klasse 11:45 bis 15:15 Uhr
Donnerstag 3./4. Klasse 12:45 bis 15:15 Uhr
Freitag 1./2. Klasse 11:45 bis 15:15 Uhr
Freitag 3./4. Klasse 12:45 bis 15:15 Uhr
Kursangebot
Mittwoch 1./2. Klasse 11:45 bis 15:15 Uhr
Mittwoch 3./4. Klasse 12:45 bis 15:15 Uhr
Montag 1./2. Klasse 11:45 bis 15:15 Uhr
Montag 3./4. Klasse 12:45 bis 15:15 Uhr
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:
*
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
Stiefmutter
Stiefvater
Grandfather
Grandmother
Sister
Brother
Aunt
Uncle
Friends
Other
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