Aanmelding - Kindcentrum Droomaarde B.V.

EN | NL

Registration for Kindcentrum Droomaarde B.V.

Requested childcare

Welkom bij Droomaarde! 🌿

Het zijn even wat gegevens om in te vullen, maar dan staat alles meteen goed in ons systeem én voor de Belastingdienst in verband met de kinderopvangtoeslag.

Tijdens de kennismaking nemen we de tijd om elkaar te ontmoeten en waar nodig kunnen we dan nog iets aanpassen.

Voelt het van beide kanten goed en klopt alles? Dan ontvangen jullie daarna het contract en maken we de plek voor jullie kind definitief.

Startdate*
Enddate*

Full day childcare (KDV) Monday Tuesday Wednesday Thursday Friday

Days and full vacationdays 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
Spoken language
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

Do you give permission for your child to be photographed for internal use?*
Do you give permission for photos of your child to be used for external communication, for example on social media?*

Parent/Guardian 1 (Who will receive the invoices)

Initials*
Firstname*
Last name prefix
Last name*
Relationship*
Date of birth*
Country of birth
Spoken language
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

n.v.t

Initials*
Firstname*
Last name prefix
Last name*
Relationship*
Date of birth*
Country of birth
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
Phone number (Home)
Mobile phone number*
Phonenumber (work)
E-mail address*

Emergency person

First name*
Last name prefix
Last name*
Relation*

Phone number (Home)
Mobilephone number
Phone number (work)
E-mail address

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