Aanmelding - Kinderdagverblijf Madelief

EN | NL

Registration for Kinderdagverblijf Madelief

Requested childcare

Leuk dat je jouw kind bij ons wilt inschrijven.

Bij de inschrijving vragen we je om een aantal belangrijke gegevens en om een paar toestemmingen en verklaringen. Onder het kopje ‘Toestemmingen’ kun je per onderdeel aangeven of je wel of geen toestemming geeft. Sommige onderdelen zijn verplicht, omdat we hier wettelijk aan moeten voldoen of omdat dit onderdeel is van onze werkwijze.

Een uitgebreide uitleg bij alle toestemmingen en onze werkwijze vind je in het document ‘Kennisgeving toestemmingen’, in de algemene voorwaarden en in onze huisregels. Deze documenten staan op onze website op de pagina Beleidsstukken: https://madelief.nl/over-madelief/beleidsstukken

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
Nationality
Spoken language
Gender*
Citizen number (BSN)*

Nickname
School/Classroom
Allergies
Medication
Medical notes
Vaccinations
Health insurance
Health insurance policy number
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

I give permission for my child to be taken outside the premises of Madelief under the supervision of a childcare professional for short outings in the surrounding area.*
I declare that my child participates in the Dutch National Immunisation Programme.*
I give permission to share my contact details with the parent committee.*
I give permission for photos in which my child is recognisable to be placed in the secure MyAlbum environment.*
I give permission for my child to be filmed during regular childcare hours as part of the “Kijk je Rijk” training, with recordings used internally only and permanently deleted after completion.*

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)*
Profession
Reffered for VVE (Preschool education)
Personal situation
Combined income
Streetname*
House number*
House number extension
Postalcode (numbers)*
Postalcode (characters)*
City*
Country*
Mobile phone number*
Phonenumber (work)
E-mail address*
IBAN
BIC/SWIFT code (if applicable)

Parent/Guardian 2

n.v.t

Initials
Firstname
Last name prefix
Last name
Relationship
Date of birth
Country of birth
Nationality
Spoken language
Citizen Number (BSN)
Profession
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
Mobile phone number
Phonenumber (work)
E-mail address
BIC/SWIFT code (if applicable)

Emergency person

Initials
First name
Last name prefix
Last name
Relation
Date of birth
Citizen number (BSN)

Street
House number
House number extension
Postalcode (numbers)
Postalcode (characters)
City
Phone number (Home)
Mobilephone number
Phone number (work)
E-mail address

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