About your child

Child's name:    

Personal number (or date of birth):   

Street:   

Zip code:   

City:   

Does your child have any food restrictions due to religion or allergies?:   

Does the child have a sibling under 12 months:    yes:    no:


Parents information

Mother's name:   

Personal number:   

Mother's occupational status (employed, student, unemployed, other):   


Fathers's name:   

Personal number:   

Father's occupational status (employed, student, unemployed, other):   


E-mail (required):   

Phone Number (required):   


Language skills

English as mother tongue:    yes:    no:

if no what is the mother tongue:   

English as a second language:    yes:    no:

Numbers of years of English:   

Language of instruction at the last school:   


Additional information

Is the child already enrolled in another daycare in Sweden:    yes:    no:

If yes: please give name, address and phone of previous or present daycare:   



Date you wish your child to start at Pre-School (e.g. 1st October 2009):