Aanmelding - Tjil! BSO de Heikant

EN | NL

Registration for Tjil! BSO de Heikant

Requested childcare

Geachte Ouder,

Deze uitgebreide aanmelding kunt u invullen zodra u met ons contact heeft gehad over de opvang voor uw zoon of dochter bij Tjil! BSO de Heikant. Met de door u ingevulde gegevens kunnen wij voor u de overeenkomst in orde maken,

Wilt u dat wij vrijblijvend contact met u opnemen om de mogelijkheden voor kinderopvang voor uw zoon of dochter te bespreken? Vraag dan via onze website een rondleiding aan.

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

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
Country of birth
Nationality
Spoken language
Religion
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?

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)*
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)
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

First name
Last name prefix
Last name
Relation

Street
House number
House number extension
City
Phone number (Home)
Mobilephone number
Phone number (work)

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