Anmeldung zur BuT-Lernförderung

Schlaufuchs Berlin

Daten Schüler*in

Name(erforderlich)

Geburtsdatum(erforderlich)

JJJJ

Klasse(erforderlich)

Schule(erforderlich)

Andere Schule

Name Personensorgeberechtigte(erforderlich)

E-Mail Personensorgeberechtigte(erforderlich)

Daten Lernförderung

Lernförderbedarf(erforderlich)

Sonderpädagogischer Förderbedarf

Förderbedarf im Fach Deutsch

Förderbedarf im Fach Mathematik

Fach/ Fächer/ Bereich

Anmerkungen

Daten Abrechnung

Ablaufdatum Berlin-Pass(erforderlich)

Rechtskreis(erforderlich)

(Angabe im berlinpass-BuT oberhalb der Kartennummer)

Upload (optional)

Hier kann ein Foto vom Berlin-Pass hochgeladen werden.

Ziehe Dateien hier her oder

Akzeptierte Dateitypen: png, jpg, pdf, jpeg, Max. Dateigröße: 5 MB, Max. Dateien: 3.

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