Professionele opvang voor uw kind

Registration form

After-school & holiday care


Child information
  
- -
Format: day - month - year
Contact details


Parent/guardian details
  
  
After school & holiday care


U kunt vakanties doorgeven middels het vakantiemeldingformulier (opent in een nieuw venster).

Preferred days
MonTueWedThuFr
Your preferences
The name of the primary school of your child
If you indicate a primary school, the childcare centre is automatically selected.
Preferred starting date
- -
Additional information

Does your child require any special care or attention?

Please list any existing medical conditions (e.g. special diet, medication, any medical care required and allergies, including drug reactions) or behavior problems:


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