Inschrijf formulier - Kinderdagverblijf Ut Kuukediefien
Informatie voor ouders
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Informatie voor ouders
Onze missie en visie
Tarieven
Team
FAQ
Werken bij
Contact
Informatie voor ouders
Onze missie en visie
Tarieven
Team
FAQ
Werken bij
Contact
Ouderportaal
Uw kind aanmelden
vul het formulier zorgvuldig in
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Gegevens van uw kind
voornaam
roepnaam
achternaam
Geboorte datum
Bsn
geslacht*
geslacht*
jongen
Meisje
heeft uw kind VVE indicatie?
vve
selecteer*
ja
nee
Gegevens ouder(s) / Verzorger(s)
Familienaam
adres
postcode
plaats
e-mailadres
Gegevens ouder / verzorger 1
roepnaam
achternaam
BSN Nummer
Geboorte datum*
Burgerlijke staat
telefoon werk
Telefoon Mobiel
beroep
godsdienst
Iban
op naam van
Is er een tweede ouder of verzorger betrokken?
Is er een tweede ouder of verzorger betrokken?
selecteer*
ja
nee
Gegevens ouder / verzorger 2
roepnaam
achternaam
BSN Nummer
Geboorte datum*
Burgerlijke staat
telefoon werk
Telefoon Mobiel
beroep
godsdienst
Overige gegevens
heeft uw kind een dieet of allergie?
Heeft uw kind een allergie*
ja
nee
welk dieet of allergie?
gebruikt uw kind een medicatie?
Gebruikt uw kind een medicatie?*
ja
nee
welk medicatie
naam huisarts
telefoonnummer
naam tandarts
telefoonnummer
zijn er bijzonderheden in uw gezin? (bijv. samengesteld gezin, scheiding, ziekte)
zijn er bijzonderheden in uw gezin?
ja
nee
zijn er bijzonderheden in uw gezin?
heeft u momenteel al een kind bij ons geplaatst?
heeft u momenteel al een kind bij ons geplaatst?*
ja
nee
naam kind
in groep
Kies hier de soort opvang die u wilt afnemen
Kies een soort
kies een soort opvang*
dagopvang
buitenschoolse opvang
peuterspelen
gewenste startdatum
Flexibele opvang (minimaal 30 uur afneembaar, 51 weken per jaar)
selecteer*
Flexibele opvang (minimaal 30 uur afneembaar, 51 weken per jaar)
geen flexibele opvang
Flexibele opvang (minimaal 16 uur per maand)
selecteer*
Flexibele opvang (minimaal 16 uur per maand)
geen flexibele opvang
kies uw gewenste opvangdagen
gewenste opvangdagen
maandag
dinsdag
woensdag
donderdag
vrijdag
gewenste opvangdagen peuter
maandagmorgen & donderdagmorgen
woensdagmorgen & vrijdagmorgen
maandagmorgen & woensdagmorgen
dinsdagmorgen & donderdagmorgen
geen voorkeur
maandag
Maandag
ochtend 06:30-13:00
middag 13:00-18:30
beide 06.30-18.30
dag 07:45-17:15
Maandag BSO
VSO 06:30-08:45
TSO 12:15-13:45
NSO 15:45-18.30
Alles
dinsdag
dinsdag
ochtend 06:30-13:00
middag 13:00-18:30
beide 06.30-18.30
dag 07:45-17:15
dinsdag BSO
VSO 06:30-08:45
TSO 12:15-13:45
NSO 15:45-18.30
Alles
woensdag
woensdag
ochtend 06:30-13:00
middag 13:00-18:30
beide 06.30-18.30
dag 07:45-17:15
woensdag BSO
VSO 06:30-08:45
TSO 12:15-13:45
NSO 15:45-18.30
Alles
donderdag
donderdag
ochtend 06:30-13:00
middag 13:00-18:30
beide 06.30-18.30
dag 07:45-17:15
donderdag BSO
VSO 06:30-08:45
TSO 12:15-13:45
NSO 15:45-18.30
Alles
vrijdag
vrijdag
ochtend 06:30-13:00
middag 13:00-18:30
beide 06.30-18.30
dag 07:45-17:15
vrijdag BSO
VSO 06:30-08:45
TSO 12:15-13:45
NSO 15:45-18.30
Alles
algemene voorwaarden
algemene voorwaarden
informatieboekje
informatieboekje
tarieven en betalingsvoorwaarden
tarieven en betalingsvoorwaarden
pedagogisch beleidsplan
pedagogisch beleidsplan
mag Ut Kuukediefien B.V. informatie, nieuwsbrieven e.d. digitaal toesturen
mag Ut Kuukediefien B.V. informatie, nieuwsbrieven e.d. digitaal toesturen
heb je belangstelling om deel te nemen aan de oudercommissie
heb je belangstellin om deel te nemen aan de oudercommissie
mag het kind op de site en/of instagram van Ut Kuukediefien gezet worden
mag het kind op de site en/of instagram van Ut Kuukediefien gezet worden
mogen je naam en adres uitgewisseld worden met de oudercommissie
mogen je naam en adres uitgewisseld worden met de oudercommissie
bij ondertekening machtigt u ons om het bedrag van dagopvang/buitenschoolse opvang/peuterspelen maandelijks van uw rekening af te schrijven. de gegevens worden vertrouwelijk behandeld door ut Kuukediefien.
verwijder
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Vul hier je telefoonnummer in
Vul hier je opmerkingen in
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Ik ga akkoord met de privacy voorwaarden*
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