Aanmelding - Flexibele opvang Kinderopvang Sterrenrijk

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Registration for Flexibele opvang Kinderopvang Sterrenrijk

Requested childcare

Welkom bij kinderopvang Sterrenrijk,

u wilt voor uw kind flexibele vakantieopvang afnemen. Tijdens de zomervakantie van maandag 22 juli tot en met vrijdag 30 augustus 2024 is dit mogelijk! In de vakantieperiode hebben wij een uitdagend en gezellig aanbod, vol actieve en sociale activiteiten. We beleven door de dag heen vele avonturen met de kinderen. Uw kind kan nu ook genieten van een rijk activiteitenaanbod en het samenspelen in de vakantie met buurtvriendjes onder begeleiding van onze professionals.

Bij de toelichting kunt u aangeven op welke locatie u de flexibele vakantieopvang wilt afnemen;

BSO Sterrenrijk (hoofdlocatie) Richard Feynmanstraat 3 – BSO De Verwondering (gesitueerd in basisschool De Verwondering) Richard Feynmanstraat 7 – BSO De Verbeelding (gesitueerd in basisschool De Verbeelding) Burchard de Volderstraat 19

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

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

Doctor/General practitioner
If your Doctor/General practitioner is not mentioned in the list, can you please write them in the remark field above?

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
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
Relationship
Date of birth
Nationality
Spoken language
Citizen Number (BSN)
Highest education
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
Citizen number (BSN)

Street
House number
House number extension
Postalcode (numbers)
Postalcode (characters)
City
Phone number (Home)
Mobilephone number*
Phone number (work)
E-mail address

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