Aanmelding - Kinderopvang De Tivoli

EN | NL

Registration for Kinderopvang De Tivoli

Requested childcare

Best ouder/ verzorger,

Hartelijk dank voor uw aanmelding.

Wilt u aub bij de toelichting de gewenste opvang tijden en dagen vermelden. KDV is voor de opvang voor kinderen van 0-4 jaar en NSO voor kinderen van 4-13 jaar. Wilt u bij allergie en medicijnen aangeven ja of nee en een toelichting geven bij ja. Wilt u bij inentingen (hier wordt onder verstaan conform vaccinatieprogramma RIVM) ja of nee aangeven. Hartelijk dank.

Vriendelijke groeten Tivoliteam

Startdate*
Enddate

Full day childcare (KDV) Monday Tuesday Wednesday Thursday Friday

Days afterschoolcare (NSO) 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*
Gender*
Citizen number (BSN)*

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

Doctor/General practitioner*
Dentist
If your Doctor/General practitioner/Dentist is not mentioned in the list, can you please write them in the remark field above?

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*
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*

Parent/Guardian 2

Title
Initials
Firstname
Last name prefix
Last name
Relationship
Date of birth
Country of birth
Nationality
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

Emergency person

First name*
Last name prefix
Last name*
Relation*

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

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