Krippe Pre-Registration

To pre-register for our bilingual Kindergarten group (German-Portuguese), please fill in the form below. Fields marked with * are required.

Desired Group *

German-English
German Portuguese

Requested Starting Date *

Personal Information

Child

Name *

First

Middle

Last

Date of Birth *

Gender *

Nationality(ies)

First Nationality *

Second Nationality

Third Nationality

Primary Language *

Second Language

Other Language *

Please specify “Other language”

Siblings *

Yes
No

Age of first sibling *

Gender *

Twin *

Yes
No

Age of second sibling

Gender

Age of third sibling

Gender

Personal Data of Parents

Parent 1

Name *

First

Last

Address *

Strasse

Stadt

PLZ

Mobile Phone Number *

Home Phone Number

Business Phone Number

E-Mail *

Email

Confirm Email

First Nationality *

Second Nationality

Third Nationality

Working Status *

Occupation

Weekly Workload *

Other Working Status

Please specify “other working status”

Parental Leave

Yes
No

For how long?

Solo Parenthood

Yes
No

Parent 2

Name

First

Last

Address

Strasse

Stadt

PLZ

Mobile Phone Number

Home Phone Number

Business Phone Number

E-Mail

Email

Confirm Email

First Nationality

Second Nationality

Third Nationality

Working Status

Occupation

Weekly Workload

Other Working Status

Please specify “other working status”

Parental Leave

Yes
No

For how long?

Solo Parenthood

Yes
No

Legal Guardian *

Consent *

By clicking on “Send Registration” I agree with the Kita Curumim privacy policy and that IMBRADIVA e.V., responsible for Kita Curumim, stores and processes my information so that the pre-registration of my child can be carried out.

Optional

I agree that the provider of the Kita Curumim, Imbradiva e.V., stores my submitted information until the child is 7 years old, in case of interest in a potential spot in Imbradiva’s kindergarten.
I agree to receive a newsletter from IMBRADIVA e.V.