Aanmelding - OUD

EN | NL

Registration for OUD

Requested childcare

Gewenst contract:

o 52 weken opvangcontract uurtarief € 8,60
o 4 weken vakantiecontract uurtarief € 8,80
o 6 weken vakantiecontract uurtarief € 8,90
o 12 weken vakantiecontract uurtarief € 9,20

o om de week- en halve dagopvang uurtarief € 9,30

Plaatsing, aangeven van hoe laat tot hoe laat de opvang nodig is. U kunt de breng tijden combineren met andere haal tijden.:

Mogelijkheden brengtijd:
7.30
8.00
8.30
9.00
12.30
13.00

Mogelijkheden haaltijd:
12.30
13.00
16.00
16.30
17.00
17.30
18.00

Ook bieden wij verlenging van de standaard uren tegen het uurtarief van €9.30.
Het gaat hierbij om de brengtijden van 7.00 tot 7.30 uur en haaltijden van 18.00 tot 18.30.

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

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*
Spoken language
Citizen Number (BSN)*
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*
Relationship
Date of birth*
Spoken language
Citizen Number (BSN)*
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
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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