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Registration for KDV De Drie Biggetjes
Requested childcare
Vul onderstaand formulier in om je aan te melden. Velden met een * zijn verplicht.
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
Toddlercare in the morning (PO)
Monday
Tuesday
Wednesday
Thursday
Friday
Remark
Child
You will be able to register another child after submitting the first registration
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
Male
Female
Neutral
Unknown
Citizen number (BSN)
Nickname
Allergies
Medication
Medical notes
Vaccinations
May be picked-up by
Consent questions
Please fill with Yes or No to what applies
Does your child follow the standard immunisation programme provided by the Public Health Service (GGD)?
*
Yes
No
May your child sleep in the outdoor cot?
Yes
No
May your email address be used for sending information from our Parents' Committee?
*
Yes
No
May photographs or videos of your child be published in the local newspaper, on Borne Boeit, or similar media outlets? (This rarely occurs.)
*
Yes
No
May photographs of your child be published on our social media pages?
*
Yes
No
May your child travel by car to a specific destination? (This rarely occurs.)
*
Yes
No
May your child travel in our cargo bike to a specific destination, such as the library or the market?
*
Yes
No
May your child join supervised walks in the vicinity of our day nursery?
*
Yes
No
Should your child be allowed to sleep on their stomach? This permission is required until the age of 9 months, as children are generally able to roll over independently after that age.
Yes
No
Should your child be swaddled? This permission also applies to the Puckababy Piep, Puckababy Mini and Pacco swaddling sleep sack. We swaddle children up to a maximum age of 6 months.
Yes
No
Should your child sleep with a pillow, or with a soft toy that is used as a pillow?
Yes
No
Should your child sleep with a large soft toy?
Yes
No
Should your child sleep with a sleep positioner (side support cushion)?
Yes
No
In the event of a suspected fever, may your child's temperature be taken rectally? This will be done no more than twice per day and only for children up to 18 months of age.
*
Yes
No
May photographs of your child be published on our day nursery website?
Yes
No
Parent/Guardian 1 (Who will receive the invoices)
Title
Initials
*
Firstname
*
Last name prefix
Last name
*
Relationship
*
Father
Mother
Stepfather
Bonus parent
Emergency person
Grandparent
Contact person
Other
Date of birth
*
Nationality
*
Spoken language
Citizen Number (BSN)
*
Highest education
*
Reffered for VVE (Preschool education)
Streetname
*
House number
*
House number extension
Postalcode (numbers)
*
Postalcode (characters)
*
City
*
Country
The Netherlands
Belgium
Germany
Country unknown
Phone number (Home)
Mobile phone number
*
Phonenumber (work)
E-mail address
*
IBAN
BIC/SWIFT code (if applicable)
Parent/Guardian 2
n.v.t
Title
Initials
*
Firstname
*
Last name prefix
Last name
*
Relationship
*
Father
Mother
Stepfather
Bonus parent
Emergency person
Grandparent
Contact person
Other
Date of birth
*
Nationality
*
Spoken language
Citizen Number (BSN)
*
Highest education
*
House number extension
Country
The Netherlands
Belgium
Germany
Country unknown
Phone number (Home)
Mobile phone number
*
Phonenumber (work)
E-mail address
BIC/SWIFT code (if applicable)
Emergency person
Title
First name
Last name prefix
Last name
Relation
Father
Mother
Stepfather
Bonus parent
Emergency person
Grandparent
Contact person
Other
City
Phone number (Home)
Mobilephone number
Phone number (work)
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