Pre-Registration Form
Given name of child *
Surname of child *
Date of birth *
MM
/
DD
/
YYYY
MA 10 Kundennummer
Social security number
Address *
Town *
Postcode/Zip/PLZ *
Phone no. *
Email *
Nationality *
Child's language(s) spoken (in order of fluency) *
Mother's name *
Mother's nationality *
Place of work
Work tel. no.
Father's name *
Father's nationality *
Place of work
Work tel. no.
Siblings (names and ages):
Health insurance
Special dietary requirements or allergies
Vaccinations and immunisations
Previous schools attended (if any)
Proposed month of entry
Where did you hear about us?
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.
Privacy/Security Note: The Children's House will not voluntarily sell or give out any information submitted by the user to third parties.
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