Child's family name:
Child’s place of birth :
Number of siblings under 18 yrs living in the household:
Mother’s family name:
Mother's first language:
Father's family name:
Father's first language:
Are you currently enrolled in another kindergarten?
How many hours of care time (according to the notice)?:
Desired entry into kindergarten:
Does your child have any disabilities/physical or mental limitations? If yes, please specify.
Comments: (optional) :