Aanmelding - Kinderopvang Blij

EN | NL

Registration for Kinderopvang Blij

Requested childcare

Hele dag KDV 07.30-18.00 uur Ochtend KDV 07.30-12.30/13.00 uur
Middag KDV 12.30/13.00-18.00 uur Peuterarrangement ochtend 08.30-12.00 uur

Wilt u bij de toelichting aangeven of uw kind bij ons op de foto mag ja of nee

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*

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

Allergies
Medication
Medical notes
Vaccinations*
May be picked-up by

Parent/Guardian 1 (Who will receive the invoices)

Initials*
Firstname*
Last name prefix
Last name*
Date of birth*
Citizen Number (BSN)*
Streetname*
House number
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

Initials*
Firstname*
Last name prefix
Last name*
Date of birth*
Citizen Number (BSN)*
Mobile phone number
Phonenumber (work)
E-mail address*
BIC/SWIFT code (if applicable)

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