Aanmelding - Kinderdagverblijf de Vlieger

EN | NL

Registration for Kinderdagverblijf de Vlieger

Requested childcare

Graag bij toelichting vermelden of het om een 40 weken of 52 weken contract gaat.

Startdate*
Enddate

Full day childcare (KDV) Monday Tuesday Wednesday Thursday Friday

Childcare in the morning (KDV) Monday Tuesday Wednesday Thursday Friday

Childcare in the afternoon (KDV) 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
Gender
Citizen number (BSN)*

Nickname*
Allergies
Medication
Medical notes
Vaccinations
Health insurance
Health insurance policy number
May be picked-up by
(Special) Feeding
Sleeptimes

Doctor/General practitioner
Dentist
If your Doctor/General practitioner/Dentist 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

Foto en video op internet en info boekje
Foto en video op sociale media
Foto en video op de veilige KOVnet app
Afwijken van stamgroep
Ziekte protocol
Dag rapportage
Ruilbeleid
Huishoudelijk reglement
Plaatsen foto's en videomateriaal stagiaires
Zelfbereide voeding (babygroep)
KIJK! observatie
Warme overdracht basisschool (3+)

Parent/Guardian 1 (Who will receive the invoices)

Title
Initials
Firstname*
Last name prefix
Last name*
Relationship
Date of birth*
Citizen Number (BSN)*
Highest education
Streetname*
House number*
House number extension
Postalcode (numbers)
Postalcode (characters)
City*
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
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
Phone number (Home)
Mobile phone number
Phonenumber (work)
E-mail address
BIC/SWIFT code (if applicable)

Emergency person

Title
First name
Last name prefix
Last name
Relation

Phone number (Home)
Mobilephone number

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