Registration

Child




Child's name:

Child's family name:

Child's gender:

Child's birthday:


Child’s address

Street:

Number:


Postcode:

City:


Child’s place of birth :

First language:

Number of siblings under 18 yrs living in the household:




Mother


Mother's name:

Mother’s family name:

Custody?

Mother's first language:

Mother’s occupation:

Phone:

Email:




Father


Father's name:

Father's family name:

Custody?

Father's first language:

Father’s occupation:

Phone:

Email:




Day care


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) :

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info@girasoles-berlin.de
(030) 30 11 25 96
Sophie-Charlotten-Str. 113
14059, Berlin.