Registration

Resident information

Name

First name

Street

PLC

City

Date of birth

Telephone

E-Mail

Parents/legal representative

Name

First name

Street

PLC

City

Telephone

E-Mail

Training center/employer

Vocational training (exact name of the apprenticeship/school)

Name

Street

PLC

City

Telephone

Billing address

Name

First Name

Street

PLC

City

Telephone

E-Mail

Residence

Admission date

Resident until about

Room

Double roomSingle room

If possible: together with

Food

Full boardHalf board

How did you learn about the casa?

acquaintanceInternetvocational teacherFiutscher vocational training fair

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