Anmeldung bei den Basler Dybli
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Email address *
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Vorname *
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Adresse *
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PLZ Ort *
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Telefon (Festnetz) *
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Vor und Nachname der Eltern *
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E-Mail Kind
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Natel Mutter
+41 123 45 67
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E-Mail Vater
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Natel Vater
+41 123 45 67
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E-Mail Mutter *
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Geburtsdatum (TT.MM.JJJJ) *
z.B. 18.12.1980
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Natel Kind
+41 123 45 67
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