Aanmelding - Ole & Cato

EN | NL

Registration for Ole & Cato

Requested childcare

Vink het vakje 'geschatte geboortedatum' aan als de inschrijving een nog ongeboren kind betreft. Het verplicht veld van BSN-nummer komt te vervallen. Bij geboortedatum kan de uitgerekende datum worden ingevuld. Na de geboorte ontvangen wij graag de aanvullende gegevens, zoals de naam, exacte geboortedatum en het BSN-nummer.

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
Country of birth
Nationality
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
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

Foto mag gebruikt worden voor social media*
Mag buiten slapen*
Mag deelnemen aan uitstapjes buiten het terrein*

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
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

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

Emergency person

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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