Aanmelding - Trias - lunchen basisschool de Overplaats

EN | NL

Registration for Trias - lunchen basisschool de Overplaats

Requested childcare

Wanneer u uw kind inschrijft voor lunchen op school bij basisschool de Overplaats middels onderstaand inschrijfformulier dan gaat u er tevens mee akkoord dat Trias Kinderopvang eenmaal per schooljaar (per kind) de kosten automatisch van uw bankrekening incasseert.
U dient dus maandag dinsdag donderdag en vrijdag aan te vinken. Bij einddatum dient u de (verwachtte) datum in te voeren wanneer uw kind de basisschool zal verlaten

Startdate*
Enddate

Remark

Child

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

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

Date of birth*
Estimated date of birth / Not yet born
Gender*

School/Classroom
Allergies
Medication
Medical notes
May be picked-up by

Parent/Guardian 1 (Who will receive the invoices)

Title
Initials
Firstname
Last name prefix
Last name*
Relationship*
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

Title
Initials
Firstname
Last name prefix
Last name
Relationship
If you do not enter an address here, the address of parent/guardian 1 will be automatically taken over.
Streetname
House number
Postalcode (numbers)
Postalcode (characters)
City
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

Phone number (Home)
Mobilephone number
Phone number (work)

Privacy Statement