Aanmelding - Agrarische kinderopvang KiekdeKoe

EN | NL

Registration for Agrarische kinderopvang KiekdeKoe

Child

You will be able to register another child after submitting the first registration

Initials
First name*
Last name prefix
Last name*

Date of birth*
Estimated date of birth / Not yet born
Gender
Citizen number (BSN)

Medical notes
May be picked-up by

Parent/Guardian 1 (Who will receive the invoices)

Initials
Firstname
Last name prefix
Last name*
Date of birth
Citizen Number (BSN)
Streetname*
House number*
House number extension
Postalcode (numbers)*
Postalcode (characters)*
City*
Country
Phone number (Home)*
Mobile phone number
E-mail address*

Parent/Guardian 2

Initials
Firstname
Last name prefix
Last name
Date of birth
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
E-mail address

Privacy Statement