Aanmelding - BSO De Pinkeltjes

EN | NL

Registration for BSO De Pinkeltjes

Requested childcare

Welkom bij de Kabouters. Onderstaande het aanmeldformulier. Wilt u bij de toelichting aangeven of u ook gebruik wil maken van een vakantiepakket keuze uit: 8 of 12 weken.

U kunt de tandarts gegevens desgewenst invullen bij medische gegevens.

Startdate*
Enddate*

Days before schoolcare (VSO) Monday Tuesday Wednesday Thursday Friday

Days afterschoolcare (NSO) 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 *
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 met een foto in de nieuwsbrief?*
Mag uw kind met een foto op onze Instagram?*
Mag uw kind alleen naar huis fietsen als dit afgesproken is met de leidsters?*
Mag uw kind mee op uitje (wandelen, speeltuin, etc)?*
Mag uw kind vervoerd worden in de BSO bus? (oudste peuters en BSO kinderen)*
Mag uw kind vervoerd worden in de bakfiets?*

Parent/Guardian 1 (Who will receive the invoices)

Title*
Initials*
Firstname*
Last name prefix
Last name*
Relationship*
Date of birth*
Country of birth
Nationality
Spoken language
Religion
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

n.v.t

Title
Initials
Firstname
Last name prefix
Last name
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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