Aanmelding - Kinderopvang De Theepot "Groene BSO"

EN | NL

Registration for Kinderopvang De Theepot "Groene BSO"

Requested childcare

Hieronder kunt u de gewenste opvang aangeven die u nodig heeft voor uw kind. Bij de toelichting kunt u aangeven:

Wat de schooltijden van de gewenste opvangdagen zijn.

Als u gebruik wilt maken van VSO: vanaf 7.00 uur of 7.30 uur.

Startdate*
Enddate*

Days before schoolcare (VSO) Monday Tuesday Wednesday Thursday Friday

Days between schoolhours (TSO) 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
Gender
Citizen number (BSN)*

Nickname
School/Classroom
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?

Parent/Guardian 1 (Who will receive the invoices)

Title
Initials*
Firstname
Last name prefix
Last name*
Date of birth*
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

Title
Initials
Firstname
Last name prefix
Last name
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)

Emergency person

First name
Last name prefix
Last name
Relation

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

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