Aanmelding - BSOSport Kinderopvang Altis

EN | NL

Registration for BSOSport Kinderopvang Altis

Requested childcare

Verschillende contractsoorten: 40 weken, 40+ weken en 52 weken. Graag in de toelichting aangeven welk pakket u wenst af te nemen. (Bij de einddatum van het contract gaan wij uit van de 12-jarige leeftijd)

Startdate*
Enddate*

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
Gender*
Citizen number (BSN)*

Nickname*
School/Classroom*
Allergies
Medication
Medical notes
Vaccinations
Health insurance
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*
Spoken language
Citizen Number (BSN)*
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
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

First name
Last name prefix
Last name
Relation

Phone number (Home)