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SAK Lörrach e.V.
Dieter-Kaltenbach-Stiftung
Gemeindekindergarten Brombach
Employee login
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Address
Data of a parent or legal guardian
E-Mail
Phone
First name
Last name
Street No.
Address extension
Postcode
City
Bitte Ihren Wohnort angeben
Gross household income per month
0,-- bis 1.499,--
1.500,-- bis 2.499,--
2.500,-- bis 3.499,--
3.500,-- bis 5.999,--
6.000,-- bis 8.499,--
8.500,-- bis 10.999,--
11.000-- bis 13.499,--
13.500,-- bis 14.999,--
15.000,-- bis 19.999,--
über 20.000,--
Employment situation
Singe parent / legal guardian is working
Singe parent / legal guardian is a job-seeker
Both parents / legal guardians are working
Both parents / legal guardians are job-seekers
One parent / legal guardian is working another is a job-seeker
I have at least one additional child in a public kindergarten
Name of the kindergarten
I am a single parent
Further information and contact details
Name of the emergency contact
Telephone number of the emergency contact
Other persons authorised to pick up
I agree that my data and the data of my children will be electronically processed and passed on to the supervising organisation.*
Further information on data protection can be found in the
Privacy policy
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