Aanmelding - Istia Maastricht Randwijck (oud)

EN | NL

Registration for Istia Maastricht Randwijck (oud)

Requested childcare

Geachte ouder/verzorger,

Bedankt voor uw interesse in KDV De Kindertuin locatie Randwijcksingel. Om u zo goed mogelijk van dienst te kunnen zijn, willen wij u vragen, om de startdatum en de gewenste dagdelen aan ons door te geven. Dit kunt u aangeven bij de toelichting hieronder.

De mogelijkheden die wij bieden zijn;

KDV Ochtend opvang 08.45-12.45 uur KDV korte dagopvang 08.45-14.45 uur KDV hele dagopvang 08.45 -18.00 uur

Mochten er vragen zijn, dan kunt u deze bij de toelichting vermelden of telefonisch contact met ons opnemen.

Met vriendelijke groet,

Team Istia Maastricht

Startdate*
Enddate*

Full day childcare (KDV) Monday Tuesday Wednesday Thursday Friday

Childcare in the morning (KDV) Monday Tuesday Wednesday Thursday Friday

Childcare in the afternoon (KDV) 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
Nationality
Spoken language
Gender
Citizen number (BSN)

Nickname
Allergies
Medication
Medical notes
Vaccinations
May be picked-up by

Doctor/General practitioner
If your Doctor/General practitioner 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

Geeft u toestemming tot het maken van uitstapjes?
Mogen er foto's gemaakt worden ten behoeve van de website of het schoolkrantje?

Parent/Guardian 1 (Who will receive the invoices)

Title
Initials
Firstname
Last name prefix
Last name*
Relationship
Date of birth
Nationality
Spoken language
Citizen Number (BSN)*
Highest education
Personal situation
Combined income
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
Nationality
Spoken language
Citizen Number (BSN)
Highest education
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
Initials
First name
Last name prefix
Last name
Relation
Date of birth
Citizen number (BSN)

Street
House number
House number extension
Postalcode (numbers)
Postalcode (characters)
City
Phone number (Home)
Mobilephone number*
Phone number (work)
E-mail address