Aanmelding - Joepie kdv Dorpstraat Nuland

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Registration for Joepie kdv Dorpstraat Nuland

Requested childcare

Dagopvang (KDV): vermeld bij toelichting of u gebruik wenst te maken van flexibele opvang, een contract op basis van 51 weken, of 44 weken.<
U kunt ook gebruik maken van een flexbundel.
Geef dit aan in de toelichting (flexbundel + aantal uren per maand).

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

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
Nationality
Spoken language
Gender
Citizen number (BSN)

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

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

buiten slapen
allergie
foto op social media
overdracht naar de basisschool
Beeldmateriaal voor opleidingsdoeleinden
Foto's in een afgeschermde omgeving (digitale schriftje)
Slapen op de buik
Foto's voor de interne nieuwsbrief
Uitstapje
Kindje inbakeren tijdens slapen

Parent/Guardian 1 (Who will receive the invoices)

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

Initials
Firstname
Last name prefix
Last name
Relationship
Nationality
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)

Emergency person

Initials
First name
Last name prefix
Last name
Relation

City
Mobilephone number
Phone number (work)
E-mail address

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