Electronic registration

Fields with * are required.

Child

Last name *

First name *

Second name *

Gender *

Birthday *

Type of document *

The data about the document (date of issue, issuing body) *

Home address *

Additional Information Availability of benefits

Date enroll *

Parents

Last name *

First name *

Second name *

Gender *

Email *

Mobile phone

Home phone

Work phone

Educational institution

КДНЗ (центр розвитку дитини) "Горобинка" Шалигинської селищної ради

Preferred group

Captcha Code

By pressing the "Register" I consent to the processing of personal data and my child to implement the necessary actions in the field of education.