Aanmelding - Kinderopvang Bij Lotte B.V.

EN | NL

Registration for Kinderopvang Bij Lotte B.V.

Requested childcare

U kunt kiezen uit een 51, 48 of 40 weken pakket.

Voor meer informatie betreft onze pakketvormen:

KDV: https://www.kinderopvangbijlotte.nl/pakketvormen-kdv/

PSZ: https://www.kinderopvangbijlotte.nl/pakketvormen-psz/

BSO: https://www.kinderopvangbijlotte.nl/pakketvormen-bso/

Vul bij de toelichting uw keuze in.

Startdate*
Enddate*

Full day childcare (KDV) Monday Tuesday Wednesday Thursday Friday

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

Days afterschoolcare (NSO) Monday Tuesday Wednesday Thursday Friday

Remark

Child

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

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

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

Allergies
Medication
Medical notes
Vaccinations
Health insurance
Health insurance policy number

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

Mag uw kind in het buitenbedje?
Mag uw kind mee op uitje? Mits deze van te voren is gecommuniceerd vanuit het team
Ouders/verzorgers geven toestemming voor het overdragen van een warme overdracht aan de basisschool en de Buitenschoolse opvang

Parent/Guardian 1 (Who will receive the invoices)

Firstname*
Last name*
Date of birth*
Nationality
Spoken language
Citizen Number (BSN)
Streetname
House number
Postalcode (numbers)*
Postalcode (characters)*
City*
Country*
Phone number (Home)
Phonenumber (work)
E-mail address*
IBAN
BIC/SWIFT code (if applicable)

Parent/Guardian 2

Firstname
Last name
Date of birth
Citizen Number (BSN)
If you do not enter an address here, the address of parent/guardian 1 will be automatically taken over.
Streetname
Postalcode (numbers)
City
Phone number (Home)
Phonenumber (work)
E-mail address
BIC/SWIFT code (if applicable)

Emergency person

First name
Last name
Relation

Phone number (Home)