Aanmelding - BSO Burgum

EN | NL

Registration for BSO Burgum

Requested childcare

Startdate*
Enddate

Days before schoolcare (VSO) Monday Tuesday Wednesday Thursday Friday

Days afterschoolcare (NSO) Monday Tuesday Wednesday Thursday Friday

Days including 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
Country of birth
Nationality*
Spoken language
Religion
Gender*
Citizen number (BSN)*

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

Mogen we foto's van uw kind plaatsen op facebook en instagram?*
Mag uw kind buiten het hek spelen op de Boomhut?*
Heeft uw kind zwemdiploma A?*
Heeft uw kind zwemdiploma B?*
Mag uw kind zelfstandig van school naar de BSO fietsen / lopen en vice versa?*
Mag uw kind zelfstandig naar een club of activiteit (buiten de BSO) gaan?*
Mag uw kind zelfstandig naar een vriendje gaan om te spelen?*
Mag uw kind zelfstandig vanuit de BSO (op het afgesproken tijdstip) naar huis gaan?*
Mag uw kind vervoerd worden met de BSO bus, auto / personenbus door een medewerker van KOB?*
Ik geef toestemming om mijn kind (it Pirateskip) op studiedagen en in vakanties op te vangen op de Boomhut*
17692

Parent/Guardian 1 (Who will receive the invoices)

Title
Initials*
Firstname*
Last name prefix
Last name*
Relationship*
Date of birth*
Country of birth
Nationality
Spoken language
Citizen Number (BSN)*
Highest education*
Profession*
Personal situation*
Combined income
Streetname*
House number*
House number extension
Postalcode (numbers)*
Postalcode (characters)*
City*
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
Date of birth
Country of birth
Nationality
Spoken language
Citizen Number (BSN)
Profession
Phone number (Home)
Mobile phone number
Phonenumber (work)
E-mail address
BIC/SWIFT code (if applicable)

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