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Æblegård Friskole- og Humlehave
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TELEFON HJEMME
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MOBILTELEFON
TELEFON ARBEJDE
E-MAIL
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FORÆLDREMYNDIGHED
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JA
NEJ
FAR
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Bahrain
Bangladesh
Barbados
Belarus
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Benin
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Bolivia
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Brazil
Brunei
Bulgaria
Burkina Faso
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Cambodia
Cameroon
Canada
Cape Verde
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Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
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Comoros
Congo
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Cote d'Ivoire
Croatia
Cuba
Cyprus
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Democratic Republic of the Congo
Denmark
Djibouti
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Dominican Republic
Ecuador
Egypt
El Salvador
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Eritrea
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Ethiopia
Falkland Islands
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Madagascar
Malawi
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Mali
Malta
Marshall Islands
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Mayotte
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Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
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New Caledonia
New Zealand
Nicaragua
Niger
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Niue
Norfolk Island
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Panama
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Paraguay
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Philippines
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Other
Land
TELEFON HJEMME
*
MOBILTELEFON
TELEFON ARBEJDE
E-MAIL
*
FORÆLDREMYNDIGHED
*
JA
NEJ
EKSTRA PÅRØRENDE (bedsteforældre eller andet)
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Aruba
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Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
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Dominican Republic
Ecuador
Egypt
El Salvador
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Eritrea
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Jersey
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Laos
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Luxembourg
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Mongolia
Montenegro
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Mozambique
Myanmar
Nagorno-Karabakh
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Niger
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Poland
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Saint Barthelemy
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Tokelau
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Other
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KONTAKTPERSON
*
TELEFON
E-MAIL
FRISKOLEN MÅ INDHENTE INFO
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JA
NEJ
LÆGELIGE OPLYSNINGER
LÆGES NAVN
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TELEFON
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Aruba
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Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
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Benin
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Bhutan
Bolivia
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Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
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Falkland Islands
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Fiji
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Gabon
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Ghana
Gibraltar
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Mongolia
Montenegro
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Nagorno-Karabakh
Namibia
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Nepal
Netherlands
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New Caledonia
New Zealand
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Niger
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Niue
Norfolk Island
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Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
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Samoa
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Sao Tome and Principe
Saudi Arabia
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Sierra Leone
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Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
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Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
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Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
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Uruguay
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Vatican City
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Other
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SYGDOMSFORLØB
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SUKKERSYGE
ALLERGI
EPILEPSI
ASTMA
NEJ (ingen af ovenstående)
UDVIKLINGSMÆSSIGE FORHOLD (motorisk, sprogligt mm.)
ANDET (herunder diagnoser mm.)
PPR (eller andet)
HAR BARNET VÆRET UNDERSØGT VED PPR
*
NEJ
JA
ANDET
HVIS "ANDET" - HVEM / HVOR
TILLADELSER MED MERE
VED INDSENDELSE AF DENNE FORMULAR ACCEPTERER JEG NEDENSTÅENDE (der skal sættes kryds ved alle)
*
OPSIGELSESPERIODEN VED FRAFLYTNING ER LØBENDE MÅNED PLUS EN MÅNED.
MEDLEMSSKAB AF "ÆBLEGÅRD FRISKOLES VENNER" ER OBLIGATORISK FOR ALLE DER HAR BØRN TILMELDT SKOLEN ELLER BØRNEHAVEN. DETTE KAN MEDFØRE OPKRÆVNING AF KONTINGENT.
INDMELDELSESGEBYRET UDGØR KR. 300 SOM INDBETALES VED BANKOVERFØRSEL TIL: SYDBANK 8060-000174264
LEJRSKOLER ER EN OBLIGATORISK DEL AF UNDERVISNINGEN OG DETTE MEDFØRER EKSTRA UDGIFTER FOR FORÆLDRENE.
JEG GIVER HERMED LOV TIL BRUG AF FOTOS/VIDEO PÅ INTERNET OG TRYKT MEDIE.
JEG GIVER HERMED MIT BARN LOV TIL KØRSEL MED ANDEN VOKSEN (personale/forældre)
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