Aanmelding - Tubbie Kinderopvang Brusselweg

EN | NL

Registration for Tubbie Kinderopvang Brusselweg

Requested childcare

Wat leuk dat u uw kind in wil schrijven bij Tubbie!

U schrijft zich in op onze locatie Brusselweg 20. Op deze locatie bieden wij BSO en peuteropvang.

Mocht u flexibel zijn in de dagen dat u wil afnemen, geef dit bij de toelichting dan even aan.

Onze peuteropvang is nog niet geopend. Wanneer u zich alvast wil inschrijven voor een plek op de wachtlijst dan zullen wij contact met u opnemen wanneer er meer bekend is over de startdatum.

Startdate*
Enddate*

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

Days before schoolcare (VSO) Monday Tuesday Wednesday Thursday Friday

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
Nationality
Spoken language
Gender*
Citizen number (BSN)*

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

Consent questions

Please fill with Yes or No to what applies

Mogen er foto's gemaakt worden van uw kind?*
Mogen er foto's van uw kind op onze social media kanalen worden geplaatst?*
Mogen er foto's waarop uw kindje zichtbaar is verstuurd worden naar andere ouders? *
Mag uw kind alleen naar huis na afloop van de BSO?*
Mag uw kind buiten de hekken van de BSO spelen?*
Mag uw kind alleen van of naar de BSO fietsen?*

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
Profession
Personal situation
Combined income
Streetname*
House number*
House number extension
Postalcode (numbers)*
Postalcode (characters)*
City*
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
Profession
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
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

Mobilephone number*
Phone number (work)

Privacy Statement