Předběžná přihláška do DS Hřebenka

Please complete the preliminary obligation-free application for preschool here

Child's personal details

Name*

Surname*

Date of birth*

Does your child have siblings in our preschool?

Preliminary expected start date*

Education program

Citizenship

Does your child have special educational requirements?

Previously attended school*

Additional information

I acknowledge that my child must be properly immunized by the time he/she enters school (with the exception of children within the compulsory preschool year or children with a chronic 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 to deal with the nursery*

Add guardian

Legal representative to deal with the nursery

Title before name

Title after name

Name*

Surname*

Relation to child*

Email*

Prefix*

Telephone number*

Same address as child's

Mailing address is same as permanent address

Permanent address

Street*

Conscription number*

Street number

Country*

Region*

City*

City district

ZIP code*

Mailing address

Street*

Conscription number*

Street number

Country*

Region*

City*

City district

ZIP code*

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

Date*

Place*

Submit application