Aanmelding - Joepie BSO Vinkel

EN | NL

Registration for Joepie BSO Vinkel

Requested childcare

Buitenschoolse opvang (BSO): vermeld bij toelichting of u gebruik wenst te maken van flexibele opvang, en of u gebruik wenst te maken van vakantieopvang.

U kunt ook gebruik maken van een flexbundel.
Geef dit aan in de toelichting (flexbundel + aantal uren per maand).

Startdate*
Enddate*

Days before schoolcare (VSO) Monday Tuesday Wednesday Thursday Friday

Days afterschoolcare (NSO) Monday Tuesday Wednesday Thursday Friday

Days including 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)*

Nickname
School/Classroom
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?

Consent questions

Please fill with Yes or No to what applies

Foto's voor de nieuwsbrief
Foto's voor website/social media/tv
Toestemming foto's digitaal schriftje
Foto's in krant of tijdschrift
Foto's opleidingsdoeleinden
Allergie
Vervoer in auto of bus
Uitstapje

Parent/Guardian 1 (Who will receive the invoices)

Initials*
Firstname
Last name prefix
Last name*
Relationship
Date 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
BIC/SWIFT code (if applicable)

Parent/Guardian 2

Initials
Firstname
Last name prefix
Last name
Relationship
Date 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
BIC/SWIFT code (if applicable)

Emergency person

Initials
First name
Last name prefix
Last name
Relation

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

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