Aanmelding - KDV de Jagershof

EN | NL

Registration for KDV de Jagershof

Requested childcare

Bij de Jagershof kunt u kiezen uit de volgende vormen opvang.

Vaste opvang of flexibele opvang .

Hierbinnen kunt u gebruik maken van de opvang voor 40, 46, 49 of 52 weken .

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

Flexible 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*
Gender*
Citizen number (BSN)*

Nickname*
Allergies*
Medication*
Medical notes
Vaccinations*
Health insurance
Health insurance policy number
May be picked-up by

Consent questions

Please fill with Yes or No to what applies

Mag uw kind op de foto?
Mogen de foto's van uw kind gepubliceerd worden?
Mag uw kind op de buik slapen?
Mag uw kind buitenslapen?
Mag uw kind begeleid buiten het terrein?
Mag uw kind mee in de auto of bus?
Mag uw kind van stamgroep wisselen ?
Mag uw kind in de kinderwagen slapen?

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)*
Personal situation*
Combined income
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
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)
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

City*
Phone number (Home)
Mobilephone number*

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