Aanmelding - BSO IJgenweis Gouda

EN | NL

Registration for BSO IJgenweis Gouda

Requested childcare

We starten met opvang op de maandag-, dinsdag- en donderdagmiddag. Bij voldoende belangstelling bestaat de mogelijkheid om in de toekomst ook opvang te bieden op de woensdag- en vrijdagmiddag. Heeft u belangstelling voor de woensdag of vrijdag, dan kunt u dit hieronder vast aangeven.

Kinderopvang IJgenweis werkt met inschrijfkosten. Voordat we uw inschrijving in behandeling nemen dient u € 25.- over te maken op NL51RABO0359390927 t.n.v IJgenweis BSO JC B.V. o.v.v. de voornaam en achternaam van het kind.

Startdate*
Enddate*

Days afterschoolcare (NSO) Monday Tuesday Wednesday Thursday Friday

Days including 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
Country of birth *
Nationality*
Spoken language*
Religion*
Gender*
Citizen number (BSN)*

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

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)*
Streetname*
House number*
House number extension
Postalcode (numbers)*
Postalcode (characters)*
City*
Country*
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)
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
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

Street
House number
House number extension
Postalcode (numbers)
Postalcode (characters)
City
Phone number (Home)
Mobilephone number
Phone number (work)

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