Aanmelding - Enjoy! De Boerderij KDV

EN | NL

Registration for Enjoy! De Boerderij KDV

Requested childcare

Wij horen graag hoe je ons gevonden hebt!

Wil je bij de toelichting aangeven via welke weg je ons gevonden hebt?

Bijvoorbeeld via: Google, flyer, familie, vrienden, de activiteiten van de Enjoy! Foundation of anders namelijk...

Bij voorbaat bedankt!

We would love to hear how you found us!

Could you please indicate in the comments how you found our childcare?

for instance via: Google, flyer, family, friends, the activities of the Enjoy! Foundation (as for example, Cruijff the Musical) or otherwise, namely...

Thanks in advance!

Startdate*
Enddate*

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
Spoken language
Gender
Citizen number (BSN)*

Nickname
Allergies
Medication
Medical notes
Vaccinations*
Health insurance
Health insurance policy number
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

n.v.t

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

Title
Initials
First name
Last name prefix
Last name*
Relation

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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