Aanmelding - ISTIA Kinderopvang Tilburg Windekind

EN | NL

Registration for ISTIA Kinderopvang Tilburg Windekind

Requested childcare

Geachte ouder/verzorger.

Bedankt voor uw interesse in peuterspeelkamer Windekind. 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; Ochtend opvang: 07.30-13.00 uur. (minimaal 2 vaste ochtenden) Maandag-Donderdag Dinsdag-Vrijdag Woensdag-Vrijdag Middag opvang: 13.00-18.30 uur

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

Met vriendelijk groet, Team Istia Tilburg

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
Country of birth
Nationality*
Spoken language
Religion
Gender*
Citizen number (BSN)*

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

Parent/Guardian 1 (Who will receive the invoices)

Title
Initials*
Firstname*
Last name prefix
Last name*
Relationship
Date of birth*
Country of birth
Nationality*
Spoken language
Religion
Citizen Number (BSN)*
Highest education
Profession
Reffered for VVE (Preschool 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
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
Mobilephone number*

Privacy Statement