Aanmelding - Boer Spierings Kinderdagverblijf B.V.

EN | NL

Registration for Boer Spierings Kinderdagverblijf B.V.

Requested childcare

Beste ouder, met dit inschrijfformulier schrijft u zich in voor onze wachtlijst.

Om u zo goed mogelijk te kunnen helpen is het belangrijk dat u uw wensen zo specifiek mogelijk door geeft. Gebruik hiervoor ook de opmerkingen. Mochten de wensen wijzigen horen wij dit graag zo spoedig mogelijk. U kunt de aanmelding niet wijzigen, maar de wensen wel doorgeven via planning@kdvboerspierings.nl

Startdate*
Enddate*

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
Allergies
Medication
Medical notes
Vaccinations*

Parent/Guardian 1 (Who will receive the invoices)

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

Phone number (Home)
Mobilephone number

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