Children´s day-care applications for VAD2022

The child care service will take place at Klarastreet 79A, 79106 Freiburg. It´s 10min walk to the university and close to the main station in Freiburg.

    Please fill out the registration - all data fields marked with * are mandatory fields.

    Dear parents, we would like to know as much as possible about your child, so that we can meet its needs as good as possible while we take care. Therefore, please give us all mandatory informations below and approve the data safety after reading.

    Personal Data

    First Name*
    Last Name*
    Street, Street Number*
    Zip Code*
    Town*
    Country*
    E-Mail (private)*
    Confirm E-Mail *
    E-Mail (business)*
    Phone Number (private)*
    Phone Number (business)*
    Emergency Number (Mobile,...)*
    First Name CHILD*
    Last Name CHILD*
    Date Of Birth CHILD*
    Who Will Pick Up My Child?
    Please Note

    Further Informations about the week program for your child we will sent to you via E-Mail. Please make sure to check your electronic mail on a regular basis.

    Further Particulars

    1. Tick Bite
    In case of a tick bite the tick shall immediately be removed by the caregiver.
    In case of a tick bite I/we wish to be informed immediately by phone (see number(s) above).
    2. Health/Food/Other

    a) Health

    Currently my child suffers from the following ailments:
    Other physical and/or health limitations that you should know about my child (Please inform us in detail so that we can guarantee an appropriate care!):

    b) Food

    During the lunch break your child will be joining you. Therefore, we will not offer lunch.
    But of course your child will need to snack on something during the morning and afternoon. Therefore, make sure to provide your child with some breakfast. We will take care of the snacks (e.g. fruits, corn cakes, raw vegetables) and drinks (e.g. water and tea).
    My child is NOT allowed to eat sugary snacks.
    My child has other intolerances/dietary rules:

    c) Other

    The following you also should know about my child:

    Supervision Time

    For the following days during the congress I need day care for my child. Please choose your needed days and specific hours*:
    Tuesday, June 7th Time from 09:00-17:30
    Wednesday, June 8th Time from 09:00-17:30
    Thursday, June 9th Time from 09:00-17:30
    Friday, June 10th Time from 09:00-17:30
    Saturday, June 11th Time from 09:00-12:00

     I have read and accepted the PRIVACY INFORMATION.*