Register your child | Ukkie Vollenhove

Your child

At which location do you want to register your child? *

Ukkie, Vollenhove Ut Kuukediefien, Urk

Has your child been born yet? *

Yes No, not yet

Family and address

Family name *

For example: the De Boer family or the Hoekstra-Kramer family.

Street and house number *

Postcode *

Town or city *

Email address *

We will send the confirmation here.

Parent or carer 1

Name used *

Last name *

Date of birth *

BSN *

Marital status *

Mobile number *

Work phone (optional)

Occupation (optional)

Religion (optional)

Direct debit

IBAN *

Account holder *

The childcare fees are collected around the 24th of the month.

Parent or carer 2

Is there a second parent or carer? *

Yes No

Health and family

Does your child have an allergy or special diet? *

Yes No

Does your child take any medicines? *

Yes No

GP's name (optional)

GP's phone number (optional)

Dentist's name (optional)

Dentist's phone number (optional)

Is there anything special about your family we should know? (optional)

Do you already have a child in our care? *

No Yes

Care you would like

What type of care are you looking for? *

Day care, 0 to 4 years Toddler group, 2 to 4 years After-school care (BSO), 4 to 12 years

Preferred start date *

Agreements

I agree to the general terms and conditions *

I have read the privacy statement. I give permission for the details in this form to be used, including my child's health details. *

I agree to the rates and payment terms I have read the information booklet I have read the educational policy plan

Permission

Newsletters and information may be sent by email Photos of my child may be posted on our social media I am interested in the parents' committee My name and address may be shared with the parents' committee

Check and sign

Check everything once more. If something is wrong, click ‘Edit’.

Sign

Name of signatory *

Place *

Signature *

Sign with your mouse, or with your finger on a phone or tablet.