Aanmelding - BSO Eigen-Wijs Almen

EN | NL

Registration for BSO Eigen-Wijs Almen

Requested childcare

Gewenst contract:

o 52 weken opvangcontract uurtarief € 9,62
o 48 weken opvangcontract uurtarief € 10,35
o 40 weken opvang contract uurtarief € 11,09

o Flexibele opvang uurtarief € 11,54
o Voorschoolse opvang uurtarief € 11,00

Ook bieden wij verlengde opvang tegen een tarief van €11,54 per half uur
Het gaat hierbij om de brengtijden van 7.00 tot 7.30 uur en haaltijden van 18.00 tot 18.30 uur.

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

LET OP: Op woensdag zijn wij gesloten.

Startdate*
Enddate*

Days before schoolcare (VSO) Monday Tuesday Wednesday Thursday Friday

Days afterschoolcare (NSO) 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*
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*
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*
Relationship
Date of birth*
Nationality
Spoken language
Citizen Number (BSN)*
Highest education
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

Title
Initials*
Firstname*
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*
Country
Phone number (Home)
Mobile phone number*
Phonenumber (work)
E-mail address*

Emergency person

Title
Initials
First name
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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