Kids & Co Application Form

Those who are eligible can use the following form to apply direct to their preferred daycare centre.

Parents Mother Father

Employer/Department *

Lastname *

Firstname *

Street *

ZIP/City *

Phone no *

Email *

Child

Lastname *

Firstname *

DOB *

Requested admission *

May we adwise your employer of your name should they enquire? * Yes No

Care models * full-time 1 day: Mo or Fr
2 days: Mo/Tue or Thur/Fr
2.5 days: Mo - We (an) or We (an) - Fr
full-time 3 days: Mo - We or We - Fr
full-time 4 days: Mo-Thur or Tue-Fr
full-time 5 days: Mo-Fr

Select desired daycare centre by clicking on priority *

Previous childcare (persons/institutions)

Remark
* Please complete all fields

Many thanks for your interest. We will contact you as soon as possible.