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Name

Gender

Form

Date of Birth

Address (with phone number)

E-mail

Brothers and sisters (with ages)

Have you got any pets? If yes, what pets?

What you do in clubs in school

What you do outside school (you may tick more than one; press the Ctrl key) ReadingGoing out with friendsFootballBasketballHorse RidingOther sportsMaking MusicListening to MusicDancingWorking at the computerPlaying at the computerOthers interests/activities

What is your favourite school subject?

How many years of German have you done so far?

Have you got any allergies?

Special food requirements? (e.g. vegetarian, no pork etc.)

Anything else you want to say about yourself

Why do you want to take part in the exchange? Please write a short text.