JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Zebra application
Thanks for your interest in our Kita: Zebra International Kindergarten!
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Father's name
*
Your answer
Father's nationality
*
Your answer
Mother's name
*
Your answer
Mother's nationality
*
Your answer
Contact telephone numbers
Your answer
Postal Address
Your answer
Child's Name
*
Your answer
Child's Date of birth
*
MM
/
DD
/
YYYY
Child's Gender
*
Female
Male
Child’s language environment
*
English
German
Other:
Required
Languages spoken to/by child at home
English
German
Other:
How many hours of child care do you have approved by the city of Berlin’s youth services?
*
Hours
1
2
3
4
5
6
7
8
9
Any other information you think we should have.
Your answer
Zebra International Kindergarten is allowed to store and process my data for the purpose of this application. The data will be store on google drive and will not be used for any other purpose.
*
I agree
Required
Send me a copy of my responses.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Help Forms improve
Report
