Aanmelding - Istia BSO Uden Vlindertuin

EN | NL

Registration for Istia BSO Uden Vlindertuin

Requested childcare

Beste ouders/verzorgers,

Bedankt voor uw interesse in onze opvang.Om u zo goed mogelijk van dienst te kunnen zijn, willen wij u vragen om de startdatum, en de gewenste opvangtijden aan ons door te geven. Dit kunt u aangeven bij de toelichting.

Opvang gedurende de schoolweken (40 weken) VSO: 07:00-08:30 07:30-08:30

BSO is geopend van 13.00 tot 18.00 uur. Wij bieden ook de mogelijkheid tot verlengde opvang tot 18.30 uur.

Opvang gedurende de vakantieweken (12 weken)

De opvang is geopend van 07.30 tot 18.00 uur. Wij bieden ook de mogelijkheid aan tot vervroegde opvang vanaf 07:00 uur en verlengde opvang tot 18:30 uur.

Mochten er vragen zijn, dan helpen wij u graag verder.

Met vriendelijke groet,

Team Istia Uden De Vlindertuin

Startdate*
Enddate*

Days before schoolcare (VSO) Monday Tuesday Wednesday Thursday Friday

Days afterschoolcare (NSO) Monday Tuesday Wednesday Thursday Friday

Days including vacations Monday Tuesday Wednesday Thursday Friday

Only During school vacations 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
Spoken language
Gender
Citizen number (BSN)*

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

Parent/Guardian 1 (Who will receive the invoices)

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

Parent/Guardian 2

Firstname
Last name prefix
Last name
Date of birth
Spoken language
Highest education
If you do not enter an address here, the address of parent/guardian 1 will be automatically taken over.
Streetname
House number
House number extension
Postalcode (numbers)
Postalcode (characters)
City
Country
Phone number (Home)
Mobile phone number
Phonenumber (work)
E-mail address
BIC/SWIFT code (if applicable)

Emergency person

Title
Initials
First name*
Last name prefix
Last name*
Relation
Date of birth
Citizen number (BSN)

Street
House number
House number extension
Postalcode (numbers)
Postalcode (characters)
City
Phone number (Home)
Mobilephone number*
Phone number (work)*
E-mail address*