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Religion*
Tetanusimpfschutz*
Behinderung?*
Wenn ja, welche?
Allergien?*
Wenn ja, welche?
Medikamente?*
Wenn ja, welche?
Notfallkontakt(e) während der Freizeit (falls vom Erziehungsberechtigten abweichend)
Busverbindung*
Wenn Busverbindung Stadtbus, welche Haltestelle?
Wenn Busverbindung Landkreisbus, welche Haltestelle?
T-Shirt*
Wenn T-Shirt Kindergrößen, welche Größe?
Wenn T-Shirt Erwachsenengrößen, welche Größe?
Auswahl der Freizeit
*Pflichtfelder
Daten des zweiten Kindes (optional)
- Vorname*
- Nachname*
- Adresse abweichend?
-
Straße
PLZ
Wohnort
- Geburtstag*
-
- Religion*
- Tetanusimpfschutz*
-
- Behinderung?*
-
- Wenn ja, welche?
- Allergien?*
-
- Wenn ja, welche?
- Medikamente?*
-
- Wenn ja, welche?
- Notfallkontakt(e) während der Freizeit (falls vom Erziehungsberechtigten abweichend)
- Busverbindung*
-
- Wenn Busverbindung Stadtbus, welche Haltestelle?
-
- Wenn Busverbindung Landkreisbus, welche Haltestelle?
-
- T-Shirt*
-
- Wenn T-Shirt Kindergrößen, welche Größe?
-
- Wenn T-Shirt Erwachsenengrößen, welche Größe?
-
- Auswahl der Freizeit
-
-
- *Pflichtfelder
Falls Sie weitere Kinder eintragen möchten, kontaktieren Sie uns bitte direkt!
E-Mail:
leitung@haigern.net
Katholisches Verwaltungszentrum Förderverein Kinderfreizeit Haigern e.V.
Bahnhofstraße 13
74072 Heilbronn
