Fields marked with * are mandatory

Child

Name

First name

Date of birth

Sex*: GirlBoy

Nationality

Address

Mother

Name

First name

Nationality

Civil status

Address

Email

Profession

Landline telephone

Mobile phone* (optional)

Business telephone

Father

Name

First name

Nationality

Civil status

Address

Email

Profession

Landline telephone

Mobile phone* (optional)

Business telephone

Desired reception at the crèche

Desired days of the week : Monday 7:30 a.m.-2:30 p.m.Monday 2:30-6:15 p.m.Tuesday 7:30 a.m. - 2:30 p.m.Tuesday 2:30-6:15 p.m.Wednesday 7:30 a.m. - 2:30 p.m.Wednesday 2:30-6:15 p.m.Thursday 7:30 a.m.-2:30 p.m.Thursday 2:30-6:15 p.m.Friday 7:30 a.m. - 2:30 p.m.Friday 2:30-6:15 p.m.

Desired date of entry to the nursery

In order to keep your registration on the waiting list, it is necessary to confirm it every three months by phone or email.