Aanmelding - Kindcentrum Montessori

EN | NL

Registration for Kindcentrum Montessori

Requested childcare

Bij de toelichting kunt u de bijzonderheden m.b.t. opvang aangeven.

VSO is voorschoolse opvang van 7.30u tot 8.30u. NSO is naschoolse opvang van 14.30u tot 18.00u. Op de woensdag is de NSO van 12.30u tot 18.00.

Maakt u gebruik van de VSO en wilt u in de vakantie ook gebruikmaken van dagopvang dan kunt u de betreffende dagen aanvinken bij alleen vakantieopvang.

Startdate*
Enddate

Days before schoolcare (VSO) Monday Tuesday Wednesday Thursday Friday

Days afterschoolcare (NSO) Monday Tuesday Wednesday Thursday Friday

Only During school 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
Nationality
Spoken language
Gender*
Citizen number (BSN)*

School/Classroom
Allergies
Medication
Medical notes
Vaccinations
Health insurance
Health insurance policy number
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

Foto's in nieuwsbrief*
Mijn kind mag zichtbaar zijn in het schriftje via KOV-net (bijv. op een foto waar meerdere kinderen opstaan)*
Beeldmateriaal voor PR*
Beeldmateriaal voor schoolgids*
Inhoudelijke afstemming tussen school en BSO*
Foto's website Montessori Kindcentrum*
Foto's social media Montessori Kindcentrum*
Mijn kind mag bij uitstapjes vervoerd worden bij de PM'er in de auto of in de Varietasbus*

Parent/Guardian 1 (Who will receive the invoices)

Title
Initials*
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
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
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
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

House number*
Phone number (Home)
Mobilephone number

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