Given name of child

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Surname of child

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Date of birth

MA 10 Kundennummer

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Social security number

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Address

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Town

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Postcode/Zip/PLZ

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Phone no.

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Must be a valid email address

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Nationality

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Child's language(s) spoken (in order of fluency)

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Mother's name

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Mother's nationality

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Place of work

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Work tel. no.

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Father's name

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Father's nationality

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Place of work

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Work tel. no.

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Siblings (names and ages):

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Health insurance

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Special dietary requirements or allergies

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Vaccinations and immunisations

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Previous schools attended (if any)

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Proposed month of entry

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Where did you hear about us?

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Comments

E.g. what are the reasons why you would like your child to go to The Children's House? Or any other information you want to add.

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Privacy/Security Note: The Children's House will not voluntarily sell or give out any information submitted by the user to third parties.

Pre-Registration Form