Aanmelding - BSO: Het Groote Huis

EN | NL

Registration for BSO: Het Groote Huis

Requested childcare

Graag in de toelichting aangeven welk van de volgende pakketten u wilt:  BSO: A-pakket, 13.00-14.45  BSO: B-pakket, 13.00-18.00  BSO C-pakket, 14.40-18.00  BSO: A-pakket inclusief 8 weken vakantie, 13.00-14.45  BSO: B-pakket inclusief 8 weken vakantie, 13.00-18.00  BSO C-pakket inclusief 8 weken vakantie, 14.40-18.00

Startdate*
Enddate*

Days and full vacationdays Monday Tuesday Wednesday Thursday Friday

Days without vacations 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
Gender
Citizen number (BSN)*

Nickname
School/Classroom
Allergies
Medical notes
Health insurance
Health insurance policy number
May be picked-up by

Parent/Guardian 1 (Who will receive the invoices)

Title
Initials*
Firstname
Last name prefix
Last name*
Relationship
Date of birth
Citizen Number (BSN)*
Streetname*
House number*
House number extension
Postalcode (numbers)*
Postalcode (characters)*
City*
Phone number (Home)
Mobile phone number*
Phonenumber (work)
E-mail address*
IBAN*

Parent/Guardian 2

Title
Initials
Firstname
Last name prefix
Last name
Relationship
Date of birth
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

Emergency person

First name
Last name prefix
Last name
Relation

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

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