Aanmelding - Sport-BSO Teamplayers Ulvenhout - Zwart-Wit

EN | NL

Registration for Sport-BSO Teamplayers Ulvenhout - Zwart-Wit

Requested childcare

Beste ouder(s)/verzorger(s),

Hieronder heeft u de mogelijkheid om aan te geven welke opvang voor welke dagen gewenst is. De einddatum is een indicatie en staat dus niet vast. De dag waarop uw kind de basisschool verlaat kunt u hier invullen.

BSO staat voor buitenschoolse opvang. BSO inclusief kunt u invullen als u tijdens de schooldagen en vakantiedagen opvang wenst. Voor onze tarieven verwijzen wij u naar www.sportbsoteamplayers.nl

Wij helpen u graag verder wanneer er vragen zijn bij het aanmelden. We zijn bereikbaar op:

Email: info@sportbsoteamplayers.nl

Telefoon: 0615366504

Startdate*
Enddate*

Days and full vacationdays Monday Tuesday Wednesday Thursday Friday

Days without vacations Monday Tuesday Wednesday Thursday Friday

Only During school vacations 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
Nationality
Spoken language
Gender*
Citizen number (BSN)*

Nickname
School/Classroom
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

Wilt u gedurende de dag foto's ontvangen van uw kind(eren)?
Geeft u toestemming om foto's van uw kind te gebruiken voor onze website?
Geeft u toestemming om foto's van uw kind te gebruiken voor onze social media kanalen?

Parent/Guardian 1 (Who will receive the invoices)

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

Emergency person

Title
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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