Aanmelding - Raamsdonksveer - kinderdagverblijf

EN | NL

Registration for Raamsdonksveer - kinderdagverblijf

Requested childcare

Mocht u vragen hebben kunt u altijd contact opnemen met ons serviceteam. Te bereiken via info@flekss.nl of 076-3034242.

Op basis van onderstaande gegevens stellen wij een contract op. Voor actuele tijden en prijzen zie www.flekss.nl.

LET OP: het is alléén mogelijk om een halve dag af te nemen op woensdag!

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

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

Mag uw kind(eren) samengevoegd worden met de babygroep?*
Mag uw kind vervoerd worden in de bso bus (stint)?*
Mogen wij ontwikkelingsgegevens uitwisselen met de school van je kind?*
Mag uw kind mee op uitjes naar bijvoorbeeld de speeltuin en/of bieb etc.?*
Mag er foto's en/of video's van uw kind op social media?*

Parent/Guardian 1 (Who will receive the invoices)

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*
Country
Phone number (Home)
Mobile phone number*
Phonenumber (work)
E-mail address*
IBAN*
BIC/SWIFT code (if applicable)

Parent/Guardian 2

Title
Initials
Firstname
Last name prefix
Last name
Date of birth
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
E-mail address
BIC/SWIFT code (if applicable)

Emergency person

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

Phone number (Home)
Mobilephone number*