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Registration for De Groene Weide

Requested childcare

Graag aangeven bij inentingen of deze volgens het rijksvaccinatieprogramma volledig / gedeeltelijk of niet worden toegediend bij het kind.


  1. Monday Tuesday Wednesday Thursday Friday

Child

You will be able to register another child after submitting the first registration

Consent questions

Please fill with Yes or No to what applies

Parent/Guardian 1 (Who will receive the invoices)

Parent/Guardian 2

  1. If you do not enter an address here, the address of parent/guardian 1 will be automatically taken over.

Emergency person

    I agree with Privacy Statement