Aanmelding - KDV Okiedokie De Kreite

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Registration for KDV Okiedokie De Kreite

Requested childcare

Wilt u bij de toelichting aangeven van welke tijd u gebruik wilt maken.
U kunt kiezen tussen de volgende tijden: 07:00 tot 18:00 07:30 tot 18:30 07:00 tot 12:30 07:30 tot 13:00 12:30 tot 18:00 13:00 tot 18:30

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

First name*
Last name prefix
Last name*
Phonenumber (Incase of emergency)

Date of birth*
Estimated date of birth / Not yet born
Nationality
Gender*
Citizen number (BSN)*

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?

Consent questions

Please fill with Yes or No to what applies

Mag uw kind gebruik maken van 2 stamgroepen indien de mogelijkheid zich voor doet?
Mag uw kind met foto`s in het afgeschermde ouderportaal?
Mag uw kind deelnemen aan wandelingen?
Mag uw kind in het dierenverblijf van locatie de Zeshoeven tijdens bezoekjes daar?

Parent/Guardian 1 (Who will receive the invoices)

Firstname*
Last name prefix
Last name*
Date of birth*
Citizen Number (BSN)*
Profession*
Streetname*
House number*
Postalcode (numbers)*
Postalcode (characters)*
City*
Mobile phone number*
Phonenumber (work)
E-mail address*
IBAN*
BIC/SWIFT code (if applicable)

Parent/Guardian 2

Firstname*
Last name prefix
Last name*
Date of birth*
Citizen Number (BSN)*
Profession*
Mobile phone number*
E-mail address*
BIC/SWIFT code (if applicable)

Emergency person

First name*
Last name*
Relation*

Mobilephone number*

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