To the overview map of all children's houses

To a tabular overview of all children's houses

Please note that only families can be considered whose registered address is in Berlin on the desired start date.

Daycare contact form - registration

For which daycare center would you like to register?

Favored children's house

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Needed hours of care

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2nd favored children's house

3rd favored children's house

Entry request?

Start date

Day.Month.Year (DD.MM.YYYY)

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Which child would you like to register?

First name of child

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Last name of child

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Child's date of birth

Day.Month.Year (DD.MM.YYYY)

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Sex of child

Nationality of child

Further nationalities of child

Native language of child

2nd language

Mainly German speaking?

Name of at least one custodian

1st Custodian

Form of address

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First name of 1st custodian

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Last name of 1st custodian

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Street and number or P.O. Box

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Zip code and City

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Date of birth of 1st Custodian

Day.Month.Year (DD.MM.YYYY)

Family status of 1st Custodian

Occupation of 1st Custodian

Phone number of 1st Custodian

Mobile phone number of 1st Custodian

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E-mail address of 1st Custodian

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2nd Custodian

Form of address

First name of 2nd custodian

Last name of 2nd custodian

Street and number or P.O. Box

Zip code and city

Date of birth of 2nd Custodian

Day.Month.Year (DD.MM.YYYY)

Family status of 2nd Custodian

Phone number of 2nd Custodian

Mobile phone number of 2nd Custodian

E-mail address of 2nd Custodian

Siblings

1st Sibling

First name of 1st sibling

Last name of 1st sibling

Date of birth of 1st sibling

Day.Month.Year (DD.MM.YYYY)

2nd Sibling

First name of 2nd sibling

Last name of 2nd sibling

Date of birth of 2nd sibling

Day.Month.Year (DD.MM.YYYY)

3rd Sibling

First name of 3rd sibling

Last name of 3rd sibling

Date of birth of 3rd sibling

Day.Month.Year (DD.MM.YYYY)

4th Sibling

First name of 4th sibling

last name of 4th sibling

Date of birth of 4th sibling

Day.Month.Year (DD.MM.YYYY)

Would you like to tell us something else?

Room for notes

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Berlin children's houses

Daycare contact form - registration

For which daycare center would you like to register?

Entry request?

Which child would you like to register?

Name of at least one custodian

Siblings

Would you like to tell us something else?