Aanmelding - SportBSO Bemmel

EN | NL

Registration for SportBSO Bemmel

Requested childcare

Toelichting onderstaande vragen:

Gelieve bij einddatum eind groep 8 invullen.

Dagen BSO incl. klik je aan als je alleen opvang tijdens schoolweken nodig hebt.
Dagen BSO incl. vakantie klik je aan als je ook gebruik wil maken van vakantieopvang/opvang tijdens studiedagen.

Startdate*
Enddate*

Days and full vacationdays Monday Tuesday Wednesday Thursday Friday

Days including vacations Monday Tuesday Wednesday Thursday Friday

Only during school vacations Monday Tuesday Wednesday Thursday Friday

Flexible 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
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

Zelfstandig van school naar de SportBSO*
Mag op de foto/video voor sociale media*
Zelfstandig naar huis*
Mag op de foto in de app van de SportBSO*

Parent/Guardian 1 (Who will receive the invoices)

Title*
Initials*
Firstname
Last name prefix
Last name*
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

n.v.t

Title
Initials
Firstname
Last name prefix
Last name*
Date of birth
Spoken language
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

Title
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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