Dětské skupiny Mia, z.s.

IČO: 22270477, 773 332 324, [email protected], http://www.dsmia.cz/

Školní rok 2025/2026 - Mia 1

Please complete the preliminary obligation-free application for preschool here

Child's personal details

Name

Surname

Date of birth

Preliminary expected start date

Education program

Does your child have special educational requirements?

Additional information

I acknowledge that the child must be properly vaccinated at the time of entry to DS (except for children attending compulsory preschool and children with a permanent contraindication).

Child's address Please enter the permanent address for your child.

Street

Conscription number

Street number

Country

Region

City

City district

ZIP code

Permanent address of the child corresponds to the child's actual residing address

Correspondence address Please enter the mailing address for your child

Street

Conscription number

Street number

Country

Region

City

City district

ZIP code

Legal guardian

Legal representative for negotiations with the organization

Add guardian

I hearby declare that all information entered in the application are true, accurate, and complete

Date

Place

Submit application