Aanmelding - BSO Klein Heyendaal

EN | NL

Registration for BSO Klein Heyendaal

Requested childcare

Beste ouders/verzorgers,

Let op:

De dinsdag en de donderdag is er geen inschrijving mogelijk i.v.m. de grote wachtlijst. Aangevraagde dagen voor de dinsdag/donderdag kunnen momenteel helaas niet in behandeling worden genomen.

Startdate*
Enddate*

Days before schoolcare (VSO) Monday Tuesday Wednesday Thursday Friday

Days and full vacationdays Monday Tuesday Wednesday Thursday Friday

Days without 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
Spoken language
Gender
Citizen number (BSN)*

Nickname
School/Classroom
Allergies
Medication
Medical notes
Vaccinations
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

Geeft u toestemming voor het gebruik van beeldmateriaal van uw kind voor de digitale nieuwsbrief?
Geeft u toestemming voor een uitstapje?
Geef u toestemming voor het gebruik van beeldmateriaal van uw kind ter promotie van nido op onze social media kanalen Facebook en Instagram? Kind komt onherkenbaar in beeld.
Mijn kind mag alleen naar huis fietsen

Parent/Guardian 1 (Who will receive the invoices)

Title
Initials*
Firstname
Last name prefix
Last name*
Relationship
Date of birth*
Citizen Number (BSN)*
Highest education
Profession
Reffered for VVE (Preschool education)
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

n.v.t

Title
Initials
Firstname
Last name prefix
Relationship
Date of birth
Citizen Number (BSN)
Highest education
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
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

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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