Aanmelding - Kinderopvang De Paddestoel BSO

EN | NL

Registration for Kinderopvang De Paddestoel BSO

Requested childcare

U heeft keuze uit 6 pakketten.

1 VSO,NSO, Vakantie en Studiedagen

2 NSO, Vakantie en Studiedagen

3 VSO

4 NSO

5 Vakantie opvang

6 Studiedagen

In de toelichting kunt u aangeven welke uw voorkeur heeft.

Startdate*
Enddate*

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
Spoken language
Gender
Citizen number (BSN)

Nickname
Allergies
Medication
Medical notes
Vaccinations
Health insurance
Health insurance policy number
May be picked-up by

Consent questions

Please fill with Yes or No to what applies

Mag uw kind op de foto voor intern gebruik?
Mag uw kind onder begeleiding het BSO terrein af?
Voor BSO : mag uw kind buiten het hek onder begeleiding medewerkers van de kinderopvang

Parent/Guardian 1 (Who will receive the invoices)

Title
Initials
Firstname
Last name prefix
Last name*
Relationship
Date of birth
Spoken language
Citizen Number (BSN)
Highest education
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
Phone number (Home)
Mobilephone number
Phone number (work)
E-mail address

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