Aanmelding - Kindercentrum Hansje Stoffel

EN | NL

Registration for Kindercentrum Hansje Stoffel

Requested childcare

Heb je al kinderen die bij ons spelen? Dan kun je met jouw e-mailadres inloggen op het ouderportaal en onder beheer>ouders meer kindgegevens toevoegen.

Startdate*
Enddate

Full day childcare (KDV) Monday Tuesday Wednesday Thursday Friday

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

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
Gender
Citizen number (BSN)*

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

Consent questions

Please fill with Yes or No to what applies

Ik ga gedurende looptijd en te allen tijde opzegbaar akkoord met informatie-uitwisseling met Vrijeschool Widar*
Ik sta toe dat mijn kind gefotografeerd wordt, conform het beeldbeleid van Hansje Stoffel *
Ik sta toe dat mijn kind mag deelnemen aan begeleide uitstapjes*

Parent/Guardian 1 (Who will receive the invoices)

Title
Initials*
Firstname*
Last name prefix
Last name*
Date of birth*
Nationality
Spoken language
Citizen Number (BSN)*
Reffered for VVE (Preschool 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

Title
Initials
Firstname
Last name prefix
Last name
Relationship
Date of birth
Spoken language
Citizen Number (BSN)
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)