| Childs Full Name |
|
| Childs Date of Birth |
|
| Danish CPR-number (civil registration number) |
|
| Birthday / Nationality |
|
| Current Residence |
|
| Current School |
|
| Current Grade |
|
| Childs First Language |
|
| Childs Language of Instruction (at school) | |
| Parents name |
|
| Address |
|
| Country |
|
| Email |
|
| Telephone (private) |
|
| Telphone (work) |
|
| Parents Position |
|
| Proposed School Start |
|
| Pre- and afterschool Activity Center (age 5-10) Yes/No |
|
| Further Information |
Date ________________ Signature______________________________________