Aanmelding - BSO Het Honk

EN | NL

Registration for BSO Het Honk

Requested childcare

Beste ouder(s)/verzorger(s),

Het is voor ons belangrijk om alle gegevens compleet te hebben. Wilt u als noodpersoon een andere persoon kiezen dan de ouders? Uiteraard bellen wij altijd eerst ouders, maar wanneer zij niet bereikbaar zijn, is het prettig een opa/oma/buurvrouw etc. te kunnen bellen.

Als u een alleenstaande ouder bent, kunt u contact met ons opnemen in verband met de verplicht in te vullen velden van dit aanmeldformulier.

Wilt u bij de toelichting aangeven van welk pakket u gebruik wilt maken? Zie hiervoor het tarieven overzicht op de website (onder de button 'tarieven en tijden')
Op woensdag is er geen VSO en BSO opvang mogelijk.

Startdate*
Enddate

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

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 *
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)

Initials*
Firstname*
Last name prefix
Last name*
Relationship*
Date of birth*
Country of birth *
Spoken language*
Religion
Citizen Number (BSN)*
Profession
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

Initials*
Firstname*
Last name prefix
Last name*
Relationship*
Date of birth*
Country of birth *
Spoken language*
Religion
Citizen Number (BSN)*
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*
First name*
Last name prefix
Last name*
Relation*

Phone number (Home)
Mobilephone number*
Phone number (work)

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