Aanmelding - KDV de Boartersboat

EN | NL

Registration for KDV de Boartersboat

Requested childcare

Indien u nog niet weet van welke dagen u gebruik zou willen maken van de opvang, dan kunt u dat bij de toelichting aangeven. Wilt u ook aangeven als u gebruik wilt maken van verlengde opvang?

Wilt u bij inentingen aangeven of uw kind ingeënt wordt volgens het rijks vaccinatie programma en eventueel toelichten.

Startdate*
Enddate

Full day childcare (KDV) Monday Tuesday Wednesday Thursday Friday

Childcare in the morning (KDV) Monday Tuesday Wednesday Thursday Friday

Childcare in the afternoon (KDV) Monday Tuesday Wednesday Thursday Friday

Toddlercare in the morning (PO) Monday Tuesday Wednesday Thursday Friday

Toddlercare in the afternoon (PO) Monday Tuesday Wednesday Thursday Friday

Remark

Child

You will be able to register another child after submitting the first registration

Initials
First name*
Last name prefix
Last name*
Phonenumber (Incase of emergency)

Date of birth*
Estimated date of birth / Not yet born
Country of birth
Nationality*
Spoken language
Religion
Gender*
Citizen number (BSN)*

School/Classroom
Allergies
Medication
Medical notes
Vaccinations*
Health insurance
Health insurance policy number
May be picked-up by

Doctor/General practitioner*
Dentist
If your Doctor/General practitioner/Dentist is not mentioned in the list, can you please write them in the remark field above?

Consent questions

Please fill with Yes or No to what applies

Mogen foto's van uw kind gedeeld worden op social media zoals facebook en instagram?*

Parent/Guardian 1 (Who will receive the invoices)

Title
Initials*
Firstname*
Last name prefix
Last name*
Date of birth
Country of birth
Nationality
Citizen Number (BSN)*
Highest education*
Profession*
Reffered for VVE (Preschool education)
Personal situation*
Combined income
Streetname*
House number*
House number extension
Postalcode (numbers)*
Postalcode (characters)*
City*
Phone number (Home)
Mobile phone number*
Phonenumber (work)
E-mail address*
IBAN*
BIC/SWIFT code (if applicable)

Parent/Guardian 2

Title
Initials
Firstname
Last name prefix
Last name
Relationship
Date of birth
Country of birth
Nationality
Citizen Number (BSN)
Highest education
Phone number (Home)
Mobile phone number
Phonenumber (work)
E-mail address
BIC/SWIFT code (if applicable)

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