Aanmelding - Lucy's Kinderdagsalon - Klaas Katerstraat

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Registration for Lucy's Kinderdagsalon - Klaas Katerstraat

Requested childcare

Lucy's Kinderdagsalon hanteert een minimale afname van 2 opvangdagen. Indien u flexibel bent in dagen, geeft u dan de eerste voorkeur aan. U kunt in de toelichting aangeven welke dagen u flexibel bent.

Startdate*

Remark

Child

You will be able to register another child after submitting the first registration

First name*
Last name prefix
Last name*

Date of birth*
Estimated date of birth / Not yet born
Nationality*
Gender*
Citizen number (BSN)*

Medical notes

Parent/Guardian 1 (Who will receive the invoices)

Firstname*
Last name prefix
Last name*
Date of birth*
Nationality
Citizen Number (BSN)*
Streetname*
House number*
House number extension
Postalcode (numbers)*
Postalcode (characters)*
City*
Country*
Mobile phone number
E-mail address*
IBAN*

Parent/Guardian 2

Firstname
Last name prefix
Last name
Date of birth
Nationality
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
Mobile phone number
E-mail address

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