Aanmelding - De Uffelse Kinderopvang

EN | NL

Registration for De Uffelse Kinderopvang

Requested childcare

Hele dag KDV= Hele dag kinderopvang
Dagen VSO= Voorschoolse kinderopvang
Dagen BSO incl= 50 weken pakket
Dagen BSO excl= 40 weken pakket

Startdate*

Full day childcare (KDV) Monday Tuesday Wednesday Thursday Friday

Toddlercare in the morning (PO) Monday Tuesday Wednesday Thursday Friday

Days before schoolcare (VSO) Monday Tuesday Wednesday Thursday Friday

Days and full vacationdays Monday Tuesday Wednesday Thursday Friday

Days without 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*
Medication
Medical notes
Vaccinations*
Health insurance
Health insurance policy number
May be picked-up by*

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

*
*
*
*
*
*

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)*
Reffered for VVE (Preschool education)
Personal situation
Combined income
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*
Relationship
Date of birth*
Country of birth *
Nationality*
Spoken language
Religion
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

Emergency person

Title*
Initials
First name*
Last name prefix
Last name*
Relation*

Phone number (Home)*
Mobilephone number*

Privacy Statement