Child

Gender*
femalemale

First name*

Surname*

Street and no.*

Postcode*

Place*

Date of birth*

Parents

Name*

Email*

Mobile*

Affiliations

Which group*
Nursery3-year-olds4-year-olds1st Kindergarten2nd Kindergarten1st Class2nd Class3rd Class4th Class

Which service*
9:3011:1113:3016:00

Language*
GermanEnglishSpanishPortuguese

Remarks:

Yes, I consent to my data being stored on the Buchegg Church database. It will only be used internally and treated confidentially.*

Yes, I agree to receive regular emails with information from the Kids Pastor*.

*mandatory information