DaycareRegistration form Registration form Thank you for your interest in a familea Kita place. In order for us to make initial internal clarifications regarding the desired place, we kindly ask you to fill out our application form below as completely as possible. Registration is non-binding and free of charge. Don't have an email? Give us a call. If you have any questions, please contact us at +41 61 260 82 82 or per anmeldung.kita@familea.ch Registration form Details of the child Name * First name Gender male female not yet known Language german french english italian albanian arabic belorussian bulgarian chinese danish estonian finnish Greek indonesian irish icelandic japanese catalan croatian latvian lithuanian maltese macedonian dutch norwegian polish portuguese romanian russian Rhaeto-Romanic swedish serbian slovak slovenian spanish czech turkish ukrainian hungarian other Date of birth Estimated date of birth Family situation not specified Family Concubinate Single parent With partner:in Parental care holder Parents (father + mother) Mother alone Father alone Add another child Remove Details of the parents * The surname and first name of at least one parent are mandatory. Name * Name * First name * First name * Street Street House number House number ZIP CODE ZIP CODE Location Location Country Please select Switzerland Germany France Afghanistan Egypt Ã…land Albania Algeria American Virgin Islands American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Equatorial Guinea Syrian Arab Republic Argentina Armenia Aruba Azerbaijan Ethiopia Australia Bahamas Bahrain Bangladesh Barbados Belgium Belize Benin Bermuda Bhutan Bolivia (Plurinational State) Bonaire Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Virgin Islands British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Chile China Cook Islands Costa Rica Curaçao Denmark Democratic Republic of the Congo Lao People's Democratic Republic Dominica Dominican republic Djibouti Ecuador El Salvador Ivory Coast Eritrea Estonia Eswatini Falkland Islands [Malvinas] Faroe Islands Fiji Finland Federated States of Micronesia French Southern and Antarctic Territories French Guiana French Polynesia Gabon Gambia Georgia Ghana Gibraltar Grenada Greece Greenland United Kingdom Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard and McDonald Islands Honduras Hong Kong India Indonesia Isle of Man Iraq Iran (Islamic Republic of) Ireland Iceland Israel Italy Jamaica Japan Yemen Jersey Jordan Cayman Islands Cambodia Cameroon Canada Cape Verde Islands Kazakhstan Qatar Kenya Kyrgyzstan Kiribati Cocos Islands Colombia Comoros Korea (Democratic People's Republic of) Croatia Cuba Kuwait Lesotho Latvia Lebanon Liberia Libya Liechtenstein Lithuania Luxembourg Macau Madagascar Malawi Malaysia Maldives Mali Malta Morocco Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Monaco Mongolia Montenegro Montserrat Mozambique Myanmar Namibia Nauru Nepal New Caledonia New Zealand Nicaragua Netherlands Niger Nigeria Niue Northern Mariana Islands North Macedonia Norfolk Island Norway Oman Austria East Timor Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Republic of China (Taiwan) Republic of the Congo Republic of Korea (South Korea) Republic of Kosovo Republic of Moldova Réunion Romania Russian Federation Rwanda Saint Barthélemy Saint Pierre and Miquelon Saint-Martin (French part) Solomon Islands Zambia Samoa San Marino São Tomé and PrÃncipe Saudi Arabia Sweden Senegal Serbia Seychelles Sierra Leone Zimbabwe Singapore Sint Maarten (Dutch part) Slovakia Slovenia Somalia Spain Sri Lanka St. Helena / Ascension and Tristan da Cunha Saint Kitts and Nevis St. Lucia Saint Vincent and the Grenadines State of Palestine Stateless South Africa Sudan South Georgia and the South Sandwich Islands South Sudan Suriname Svalbard and Jan Mayen Tajikistan Thailand Togo Tokelau Tonga Trinidad and Tobago Chad Czech Republic Tunisia Turkey Turkmenistan Turks and Caicos Tuvalu Uganda Ukraine Unknown Hungary United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City Venezuela (Bolivarian Republic) United Arab Emirates United Republic of Tanzania United States of America Vietnam Wallis and Futuna Christmas Island Belarus Western Sahara Central African Republic Cyprus Country Please select Switzerland Germany France Afghanistan Egypt Ã…land Albania Algeria American Virgin Islands American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Equatorial Guinea Syrian Arab Republic Argentina Armenia Aruba Azerbaijan Ethiopia Australia Bahamas Bahrain Bangladesh Barbados Belgium Belize Benin Bermuda Bhutan Bolivia (Plurinational State) Bonaire Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Virgin Islands British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Chile China Cook Islands Costa Rica Curaçao Denmark Democratic Republic of the Congo Lao People's Democratic Republic Dominica Dominican republic Djibouti Ecuador El Salvador Ivory Coast Eritrea Estonia Eswatini Falkland Islands [Malvinas] Faroe Islands Fiji Finland Federated States of Micronesia French Southern and Antarctic Territories French Guiana French Polynesia Gabon Gambia Georgia Ghana Gibraltar Grenada Greece Greenland United Kingdom Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard and McDonald Islands Honduras Hong Kong India Indonesia Isle of Man Iraq Iran (Islamic Republic of) Ireland Iceland Israel Italy Jamaica Japan Yemen Jersey Jordan Cayman Islands Cambodia Cameroon Canada Cape Verde Islands Kazakhstan Qatar Kenya Kyrgyzstan Kiribati Cocos Islands Colombia Comoros Korea (Democratic People's Republic of) Croatia Cuba Kuwait Lesotho Latvia Lebanon Liberia Libya Liechtenstein Lithuania Luxembourg Macau Madagascar Malawi Malaysia Maldives Mali Malta Morocco Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Monaco Mongolia Montenegro Montserrat Mozambique Myanmar Namibia Nauru Nepal New Caledonia New Zealand Nicaragua Netherlands Niger Nigeria Niue Northern Mariana Islands North Macedonia Norfolk Island Norway Oman Austria East Timor Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Republic of China (Taiwan) Republic of the Congo Republic of Korea (South Korea) Republic of Kosovo Republic of Moldova Réunion Romania Russian Federation Rwanda Saint Barthélemy Saint Pierre and Miquelon Saint-Martin (French part) Solomon Islands Zambia Samoa San Marino São Tomé and PrÃncipe Saudi Arabia Sweden Senegal Serbia Seychelles Sierra Leone Zimbabwe Singapore Sint Maarten (Dutch part) Slovakia Slovenia Somalia Spain Sri Lanka St. Helena / Ascension and Tristan da Cunha Saint Kitts and Nevis St. Lucia Saint Vincent and the Grenadines State of Palestine Stateless South Africa Sudan South Georgia and the South Sandwich Islands South Sudan Suriname Svalbard and Jan Mayen Tajikistan Thailand Togo Tokelau Tonga Trinidad and Tobago Chad Czech Republic Tunisia Turkey Turkmenistan Turks and Caicos Tuvalu Uganda Ukraine Unknown Hungary United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City Venezuela (Bolivarian Republic) United Arab Emirates United Republic of Tanzania United States of America Vietnam Wallis and Futuna Christmas Island Belarus Western Sahara Central African Republic Cyprus Nationality Switzerland Germany France England Italy Albania China Croatia Portugal Serbia Spain Turkey USA other Nationality Switzerland Germany France England Italy Albania China Croatia Portugal Serbia Spain Turkey USA other Language german french english italian albanian arabic belorussian bulgarian chinese danish estonian finnish Greek indonesian irish icelandic japanese catalan croatian latvian lithuanian maltese macedonian dutch norwegian polish portuguese romanian russian Rhaeto-Romanic swedish serbian slovak slovenian spanish czech turkish ukrainian hungarian other Language german french english italian albanian arabic belorussian bulgarian chinese danish estonian finnish Greek indonesian irish icelandic japanese catalan croatian latvian lithuanian maltese macedonian dutch norwegian polish portuguese romanian russian Rhaeto-Romanic swedish serbian slovak slovenian spanish czech turkish ukrainian hungarian other Phone private * Phone private * Cell phone private * Cell phone private * E-mail private * E-mail private * Business phone Business phone Cell phone business Cell phone business E-mail business E-mail business Correspondence language German English Employer Employer Professional activity Professional activity Employment level Employment level Member profawo Care details preferred entry date * Occupancy units(Lunch supervision is only possible in combination with other half days) Mo Tue Mi Do Fri Morning Mo Tue Mi Do Fri Morning incl. lunch Mo Tue Mi Do Fri Noon Mo Tue Mi Do Fri Afternoon incl. lunch Mo Tue Mi Do Fri Afternoon Mo Tue Mi Do Fri Whole day Mo Tue Mi Do Fri 1. priority Please select a daycare center Allmendstrasse Annator Appenzellerstrasse Flughafenstrasse Gellert Gundeli Habsburgstrasse Hirzbrunnen/Eglisee Horburgpark In den Neumatten Jungstrasse Kleinhüningerstrasse Lehenmattstrasse Lützelstrasse Margarethenpark Missionsstrasse Mittlere Strasse Novartis Kraftstrasse Novartis Lichtstrasse Petersgraben Pierrot Rebgasse Riehen Riehen Dorf Riehenring Roche Solitude Ryffstrasse St. Johann Theodor Universität Basel Wasgenring Westfeld Wiesenschanzweg Aesch Ettingen Oberwil Reinach Mischeli Reinach Möhlin Rheinfelden Stein 2. priority Please select a daycare center Allmendstrasse Annator Appenzellerstrasse Flughafenstrasse Gellert Gundeli Habsburgstrasse Hirzbrunnen/Eglisee Horburgpark In den Neumatten Jungstrasse Kleinhüningerstrasse Lehenmattstrasse Lützelstrasse Margarethenpark Missionsstrasse Mittlere Strasse Novartis Kraftstrasse Novartis Lichtstrasse Petersgraben Pierrot Rebgasse Riehen Riehen Dorf Riehenring Roche Solitude Ryffstrasse St. Johann Theodor Universität Basel Wasgenring Westfeld Wiesenschanzweg Aesch Ettingen Oberwil Reinach Mischeli Reinach Möhlin Rheinfelden Stein 3. priority Please select a daycare center Allmendstrasse Annator Appenzellerstrasse Flughafenstrasse Gellert Gundeli Habsburgstrasse Hirzbrunnen/Eglisee Horburgpark In den Neumatten Jungstrasse Kleinhüningerstrasse Lehenmattstrasse Lützelstrasse Margarethenpark Missionsstrasse Mittlere Strasse Novartis Kraftstrasse Novartis Lichtstrasse Petersgraben Pierrot Rebgasse Riehen Riehen Dorf Riehenring Roche Solitude Ryffstrasse St. Johann Theodor Universität Basel Wasgenring Westfeld Wiesenschanzweg Aesch Ettingen Oberwil Reinach Mischeli Reinach Möhlin Rheinfelden Stein Comment 0 of 255 max characters Falls Du menschlich bist, lasse dieses Feld leer. 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