Aanmelding - Peuteropvang Kindcentrum Montessori

EN | NL

Registration for Peuteropvang Kindcentrum Montessori

Requested childcare

Momenteel is het niet mogelijk om POV op de vrijdagmorgen aan te vragen. Gelieve uw voorkeur op de andere dagen aan geven.

Startdate*
Enddate*

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
Spoken language
Gender
Citizen number (BSN)*

Nickname
Allergies
Medication
Medical notes
Vaccinations
May be picked-up by

Consent questions

Please fill with Yes or No to what applies

Beeldmateriaal voor PR*
Beeldmateriaal voor beleidstukken*
Inhoudelijke afstemming tussen school en POV*
Foto's website Montessori Kindcentrum*
Foto's in nieuwsbrief *
Mijn kind mag zichtbaar zijn in het schriftje van KOV-net (bijv. een foto waar meerdere kinderen opstaan)*
Foto's social media Montessori Kindcentrum *

Parent/Guardian 1 (Who will receive the invoices)

Title
Initials*
Firstname
Last name prefix
Last name*
Relationship
Date of birth*
Spoken language
Citizen Number (BSN)*
Highest education
Streetname*
House number*
House number extension
Postalcode (numbers)*
Postalcode (characters)*
City*
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
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
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

City
Phone number (Home)
Mobilephone number
Phone number (work)
E-mail address

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