personal information:

surname:
firstname:

grade:

homeroom teacher: (dt. Klassenlehrer):

e-mail address:

landline (number):

mobile phone (number):

gender:

male female

birthday:

Do you have pets?
yes no Please write a longer text about your hobbies, your favorite subjects and so on:

Tell us a few details about your family:


Do you have any allergies?
no yes Why do you want to join the program?

Please upload a nice picture of yourself.