Aanmelding - Kinderopvang Eigen-Wijs Almen

EN | NL

Registration for Kinderopvang Eigen-Wijs Almen

Requested childcare

Gewenst contract:

o 52 weken opvangcontract uurtarief € 10,81
o 48 weken contract uurtarief € 11,60
o 40 weken contract uurtarief € 12,29

o flexibele dagen contract uurtarief € 12,52
o halve dagopvang uurtarief € 11,25

o 40 schoolweken peuter opvang uurtarief € 10,71

Ook bieden wij verlengde opvang van 13.00 - 14.30 uur tegen het uurtarief van € 12,52.

Plaatsing: Bij toelichting kunt u aangeven van welk contractsoort u gebruik wenst te maken.

LET OP: Op woensdag en vrijdag zijn wij gesloten.

Startdate*
Enddate*

Full day childcare (KDV) Monday Tuesday Wednesday Thursday Friday

Childcare in the morning (KDV) Monday Tuesday Wednesday Thursday Friday

Childcare in the afternoon (KDV) Monday Tuesday Wednesday Thursday Friday

Toddlercare in the morning (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*
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
Dentist
If your Doctor/General practitioner/Dentist 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*
Country of birth
Nationality
Spoken language
Religion
Citizen Number (BSN)*
Highest education
Profession
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*

Parent/Guardian 2

Title
Initials*
Firstname*
Last name prefix
Last name*
Relationship
Date of birth*
Country of birth
Nationality
Spoken language
Religion
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
Country
Phone number (Home)
Mobile phone number*
Phonenumber (work)
E-mail address*

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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