Registration

Registration

Name

First name:

Birth date:

Gender

Birthplace country

denomination:

Nationality:

Street:

PLZ:

Location:

Phone

Telephone:

Email:

BG-Nr.:

Insurance number:

allergies:

Medicines:

Legal guardian

Name:

First name:

Telephone:

E-mail:

type of school

Class level 2022/2023

Name of the school:

Class teacher's name:

Agreement to cooperation with kindergarten or school

school certificate

Upload file

Passport

Upload file

Passport photo

Upload file (student)

vaccination booklet

Upload file

Opt-In

Hiermit erkläre ich mich einverstanden, dass meine in das Kontaktformular eingegebenen Daten elektronisch gespeichert und zum Zweck der Kontaktaufnahme verarbeitet und genutzt werden.

Contact

Give us a call: 0201 - 37644050

You'll find us here:Rottstr.24, 45127 Essen, Germany

Support us

Donation account:

Sparkasse Essen

Integration and Education Center gUG

IBAN: DE72 3605 0105 0002 1910 88

BIC: SPESDE3EXXX