Name and surname of the child:

Child's date of birth:

Address:

Nationality:

Social security number:

Place of birth:

Parents' names:

Your email:

Please mark the weeks your child will be in kindergarten with us:
17. – 21.7 WATER REALM24. – 28.7 EARTH'S SURFACE31.7. – 4.8. EARTH'S ATMOSPHERE7.8. – 11.8. FIRE ON PLANET EARTH14.8. – 18.8. PLANETS OF OUR SOLAR SYSTEM21.8. – 25.8. FAUNA28.8. – 1.9. FLORA

Contact for mother – phone/email:

Father's contact - phone/email:

Child's allergies:

Persons authorized to pick up a child from kindergarten:

Your message (optional):

Consent to data processing:
I agree that the above data are in accordance with Act No. 101/2000 Coll. as amended and according to Regulation (EU) 2016/679 of the European Parliament and of the Council, processed by MŠ Indigo Kids, v.o.s. This data will not be misused or provided to other persons without my written consent. This consent to the processing of personal data is granted for a period of 5 years from the receipt of the information. I am aware that providing consent to the processing of the above-mentioned personal data for the above-mentioned purposes is voluntary, and at the same time that I can withdraw my consent in writing at any time.