Aanmelding - BSO de Jagershof

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Registration for BSO de Jagershof

Requested childcare

De contractvormen zijn: • Opvang voor 40 weken vast of flexibel • Vakantieopvang voor 6, 9 of 12 weken vast of flexibel.

We werken met standaard 40 weken opvang, voor de vakanties wordt gewerkt met uren potjes . Dit betekent concreet dat alle schoolweken dus gebruik gemaakt wordt van de opvang vanuit de opgegeven uren per maand . Voor de schoolvakanties maakt u dan gebruik van het uren potje, u zult zelf de opvang moeten aanvragen en u zult op de factuur zien hoeveel uren er gebruikt zijn vanuit het urenpotje.

Startdate*
Enddate

Days before schoolcare (VSO) Monday Tuesday Wednesday Thursday Friday

Days afterschoolcare (NSO) Monday Tuesday Wednesday Thursday Friday

Only During school vacations Monday Tuesday Wednesday Thursday Friday

Flexible 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
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

Consent questions

Please fill with Yes or No to what applies

Mag uw kind op de foto?
Mogen de foto's van uw kind gepubliceerd worden?
Mag u kind mee in de auto of bus?
Mag uw kind begeleid buiten het terrein?
Mag uw kind zelfstandig op het terrein buiten spelen?
Mag uw kind zelfstandig van/naar school?
Mag uw kind zelfstandig naar huis?
Mag uw kind van stamgroep wisselen

Parent/Guardian 1 (Who will receive the invoices)

Title*
Initials*
Firstname*
Last name prefix
Last name*
Date of birth*
Nationality*
Spoken language
Citizen Number (BSN)*
Personal situation*
Combined income
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
Nationality
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

Title
Initials
First name*
Last name prefix
Last name*
Relation
Date of birth*

City*
Phone number (Home)
Mobilephone number*

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