Registration request for an adult or a child at the EFDB

Step 1 of 5

Activity start date*
DD slash MM slash YYYY
Registration request for the school year*
Activité choisie*
Adult or child*

Adult contact details
Last name*
Last
First name*
First
Date of birth*
DD slash MM slash YYYY
Place of birth*
Address*
Street Address City ZIP / Postal Code Country
Phone*
Email*
Allergies

Parents contact details
Address parent 1*
Street Address City ZIP / Postal Code Country
Address parent 2
Street Address City ZIP / Postal Code Country

(if different from parent 1)
Home phone*
Last and first name of the 1st parent*
Phone of the 1st parent*
Email of the 1st parent*
Last and first name of the 2nd parent*
Phone of the 2nd parent*
Email of the 2nd parent