Bitte wähle eines
Kleine Weltkinder KeithstrasseKleine Weltkinder Tegeler Weg

First and last name of the child

Date of birth (if applicable, due date)

Place of birth

Native language(s)

Date of admission (desired)

Admission date (latest possible)

Is the child already being taken care of?
YesNo

Gender
femalemale

If yes, where/ with whom (daycare provider/ preschool, etc.)

Haben Sie einen Kitagutschein?
verfügbarnicht vorhandenbeantragt

requested on:

Expected extent of care
5-7 Std7-9 Stdab 9 Std

Siblings?
JaNein

If yes, at what age?

Information about the mother:

First and last name

Occupation (voluntary)

Address, ZIP code, and city

Tel. Nr.

Mobile number

E-Mail

Information about the father:

First and last name

Occupation (voluntary)

Address, ZIP code, and city

Mobile number

E-Mail

Comments:

(e.g. Recommendation, friend of, special requests...)