CARE-GIVING CONTRACT

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We will send you a contract to sign.

>>> As the contingent is fully used up, we can currently NOT offer any subsidized places <<<

Location

Selection of Location* KITA BÄRLIS, Granitweg 6
VILLA BÄRLIS, Im Eisernen Zeit 31

Child

Surname*

???

Given Name*

???

Gender* male female

???

Date of Birth*

expected

Nationality*

Languages*

Parents / Legal Guardian

Language

Communication requested in*

1. Parents / Legal Guardian

Title

Surname*

Given Name*

Street*

Postcode*

City*

e-mail*

e-mail (repeat)

Employer

Profession

Mobile No.*

Tel. no. Private

Tel. no. at work

Nationality

Date of Birth

Single Parent* yes no

2. Parents / Legal Guardian

Title

Surname*

Given Name*

Street*

Postcode*

City*

e-mail

e-mail (repeat)

Employer

Profession

Mobile No.*

Tel. no. Private

Tel. no. at work

Nationality

Date of Birth

Subsidized Places

Are you requesting a subsidized place?* yes no

Beitragsfaktorbestätigung (BF) available requested planned

Bestätigung des subventionsberechtigten Betreuungsumfangs (SBU) available requested planned

Child

I confirm, that my child will be vaccinated (according to Swiss vaccination plan)*

Does your child need special care for health reasons?* yes no ?

Details

Betreuungstage

Date of entry* Start of Adaptation

Mon Full day / 07:00h – 18:45h
Morning / with Lunch / 07:00h – 14:00h
Morning / without Lunch / 07:00h – 11:00h
Afternoon / with Lunch / 11:00h – 18:45h
Afternoon / without Lunch / 14:00h – 18:45h
No daycare on this day

Tue Full day / 07:00h – 18:45h
Morning / with Lunch / 07:00h – 14:00h
Morning / without Lunch / 07:00h – 11:00h
Afternoon / with Lunch / 11:00h – 18:45h
Afternoon / without Lunch / 14:00h – 18:45h
No daycare on this day

Wed Full day / 07:00h – 18:45h
Morning / with Lunch / 07:00h – 14:00h
Morning / without Lunch / 07:00h – 11:00h
Afternoon / with Lunch / 11:00h – 18:45h
Afternoon / without Lunch / 14:00h – 18:45h
No daycare on this day

Thurs Full day / 07:00h – 18:45h
No daycare on this day

Fri Full day / 07:00h – 18:45h
Morning / with Lunch / 07:00h – 14:00h
Morning / without Lunch / 07:00h – 11:00h
Afternoon / with Lunch / 11:00h – 18:45h
Afternoon / without Lunch / 14:00h – 18:45h
No daycare on this day

Flexible Days

Remarks / Changes of days required

Vielen Dank für das Ausfüllen des Formulars. Ihre Angaben wurden übermittelt und wir werden uns in Kürze mit Ihnen in Verbindung setzen.

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