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Family information
Last name
*
First name
*
Phone number
*
Choose
Home
Office
Alternative number
Choose
Home
Office
Email
*
Language
*
Choose
german
english
Employer
*
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Child information
Last name
*
First name
*
Date of birth
*
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
1
2
3
4
5
6
7
8
9
10
11
12
Year
2036
2035
2034
2033
2032
2031
2030
2029
2028
2027
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
— Remove child
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Next step
Childcare information
Number of days
*
1
2
3
4
5
Preferred days
*
Mo
Tue
Wed
Thu
Fr
preferred start date
*
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
1
2
3
4
5
6
7
8
9
10
11
12
Year
2026
2027
2028
2029
subsidized place
*
Yes
No
Comment
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