Aanmelding - Peuterspeelzaal Samenspel – locatie De Speeltuinvriendjes

EN | NL

Registration for Peuterspeelzaal Samenspel – locatie De Speeltuinvriendjes

Requested childcare

Heb je interesse in het Samenspel Peuterpakket? Kies voor het vakje 'Peuteropvang ochtend'.

Heb je interrese in het Samenspel Peuterpakket Plus? Kies voor het vakje 'Peuteropvang middag'.

Het is mogelijk om onze pakketten te combineren. Wil je hier meer over weten? Neem gerust contact met ons op via: info@kinderopvangsamenspel.nl

Startdate*
Enddate*

Toddlercare in the morning (PO) Monday Tuesday Wednesday Thursday Friday

Toddlercare in the afternoon (PO) 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*

Date of birth*
Estimated date of birth / Not yet born
Gender*
Citizen number (BSN)*

School/Classroom*
Allergies
Medication
Medical notes
Vaccinations
May be picked-up by

Consent questions

Please fill with Yes or No to what applies

Can your son/daughter ride with us in our BSO BUS?*
Can your son/daughter come with us on field trips?*
Can your son/daughter be photographed when the photo(s) are only placed in our closed parent portal?*

Parent/Guardian 1 (Who will receive the invoices)

Initials*
Firstname*
Last name prefix
Last name*
Relationship
Date of birth*
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

n.v.t

Initials
Firstname
Last name prefix
Last name
Relationship
Date of birth
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

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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