Aanmelding - Peuteropvang de Zonnewijzer

EN | NL

Registration for Peuteropvang de Zonnewijzer

Requested childcare

LET OP: Op donderdag is de peuteropvang gesloten.

Wilt u bij de toelichting aangeven of u opvang met KOT (kinderopvangtoeslag) 8,80 of zonder KOT (subsidie gemeente) 8,18 wenst.

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
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

Mijn kind mag op facebook
Mijn kind mag op de website
Ik wil foto's van mijn kind ontvangen via het schriftje van KOV-net
Mijn kind mag zichtbaar zijn bij anderen in het schriftje via KOV-net
Hierbij geef ik de school en de PM-ers van het peuterspelen toestemming voor inhoudelijke afstemming betreffende mijn kind.*

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

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

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