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Child Educare Services

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Child Educare Services*
- It-Tajra
- Ilwien
- Il-Perla Kindergarten
Applicant*
- Full-Time Staff
- Part-Time Staff
- Student
- General Public
Employee ID*
Kindly note that this form serves as a waiting list application and therefore it does not guarantee a place at our Centres.
Section I - Child's Details
Has the child been born?*
- Yes
- No
Name & Surname of child*
First Last
Date of Birth*
Gender*
- Male
- Female
Child's ID Number*
Preferred date for your child to commence service*

DD
MM
YYYY
Number of days a week*
From (time)*

: HR

MIN
To (time)*

: HR

MIN
Section IIA - Parents/Guardians/Custodian Details 1
Name and Surname*
First Last
ID Number*
Nationality*
Email*
Work/Home Phone Number*
Mobile Phone Number*
Home Address*
Address Line Street Address City Postal Code Country
Section IIB - Parents/Guardians/Custodian Details 2
Name and Surname
First Last
ID Number
Nationality
Email
Work/Home Phone Number
Mobile Phone Number
Home Address
Address Line Street Address City Postal Code Country
Section III - Medical Records
Describe any specific health conditions or physical impairment about which we should be informed. This also includes if your child is being assessed by CDAU or being followed by a professional.*
Registration Fee*
Price: € 40.00
Total
€ 0.00