Aanmelding - BSO Speelland Storm

EN | NL

Registration for BSO Speelland Storm

Requested childcare

In ons BSO pakket heb je opvang voor je kind van 14:30 tot 18:30 en in de vakantieweken van 07:30 tot 18:30. Met uitzondering van de erkende feestdagen (en Leids ontzet)

*Studiedagen en roostervrije dagen zijn in ons pakket niet meegenomen en kun je naar behoefte extra afnemen (ruilen is voor extra opvang niet mogelijk)

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
Spoken language*
Gender*
Citizen number (BSN)*

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

Consent questions

Please fill with Yes or No to what applies

Mag je kind mee op uitstapjes zonder vooraankondiging? (denk aan het park, speeltuin etc)*
*

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

n.v.t

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

Title
First name
Last name
Relation

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

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