Pre-Registration 1Structure2Responsible Person3Address4Child If you wish to visit one of our facilities, schedule an appointment, or simply obtain more information, it's easy! Fill out this form to provide all the necessary details to answer your questions, and we will get back to you as soon as possible!Pre-Registration Choose a FacilityStructure* Crèche Bissen Crèche Diekirch Crèche Ettelbruck Foyer de Jour Wiltz Crèche Ettelbruck II Crèche Beaufort Foyer de Jour Ettelbruck Crèche Warken Crèche Wemperhardt Crèche Marnach Foyer de Jour Heiderscheid Crèche Heiderscheid Crèche Pommerloch Crèche Wiltz Pre-Registration Information of the Responsible PersonFonction* Mother Father Guardian Last name* First name* Email* Mobile Number (GSM)* Pre-Registration AddressN° Street Postal Code (CP) Locality Pre-Registration Child's InformationChild already born?* Yes No Gender* Masculine Feminine Last name* First name* Date of birth* Day Month Year Estimated date of birth* Day Month Year Estimated date of entry* Day Month Year Pre-Registration Your messageHiddenFoyer de Jour* Spillschoul - 1.1 1.2 Cycle 2 - 2.1 2.2 Cycle 3 - 3.1 3.2 Cycle 4 - 4.1 4.2 HiddenCrèche* 30 Hours 60 Hours Insert your message hereHiddenName of the teacher EmailThis field is for validation purposes and should be left unchanged. I don't want to fill out the form. Please contact me Trop de champs à remplir? Aucun soucis, nous vous proposons de vous contacter avec de plus amples détails.Last name* First name* Téléphone*EmailThis field is for validation purposes and should be left unchanged. Return to the form