Aanmelding - Kind aan Huis

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Registration for Kind aan Huis

Requested childcare

Graag aangeven welk pakket je wenst:

51 weken pakket (40 schoolweken en alle vakantieweken gegarandeerd plek) of 46 weken pakket (40 schoolweken en slechts 6 vakantieweken plek)

Beide uurtarieven voor het betreffende jaar zijn terug te vinden onder de button Praktische Informatie

Startdate*
Enddate*

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
Medical notes

Consent questions

Please fill with Yes or No to what applies

Mag uw kind op de foto?

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
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
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
First name
Last name prefix
Last name
Relation

Phone number (Home)
Mobilephone number
Phone number (work)

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