School care (BSO)

Child details
First name*
Last name*
Date of birth*

Dag
Maand
Jaar
Sex*
- Male
- Female
Particularities concerning development, allergies and/or medication*
BSN (citizen service number)*
For the purpose of child care benefits child care organisations are obligated to document the citizen service number (BSN) of the parents/guardians and of their child

Parent(s) / Guardian(s) details
In order to receive child care benefits it’s imperative that you fill out the details for both parents/guardians.
Parent / Guardian 1 > Initial(s)*
Parent / Guardian 1 > Last Name*
Parent / Guardian 1 > Date of birth*

Dag
Maand
Jaar
Parent / Guardian 1 > Sex*
- Male
- Female
Parent / Guardian 1 > Address*
Address City Postal code
Parent / Guardian 1 > Phone number*
Parent / Guardian 1 > Mobile number*
Parent / Guardian 1 > E-mail address*
Parent / Guardian 1 > BSN (citizen service number)*
Parent / Guardian 1 > Employment Situation:*
- Employed
- Entrepeneur
- Unemployed
- Other

Parent / Guardian 2
Parent / Guardian 2 > Initial(s)
Parent / Guardian 2 > Last Name
Parent / Guardian 2 > Date of birth

Dag
Maand
Jaar
Parent / Guardian 2 > Sex
- Male
- Female
Parent / Guardian 2 > Address
Address City Postal code
Parent / Guardian 2 > Phone number
Parent / Guardian 2 > Mobile number
Parent / Gudiardian 2 > E-mail address
Parent / Guardian 2 > BSN (citizen service number)
Parent / Guardian 2 > Employment Situation:
- Employed
- Entrepeneur
- Unemployed
- Other

Form
This form has been filled out truthfully*
Undersigned accepts the terms and conditions, information and rules and privacy statement as set forth by Kinderopvang Walcheren. Please refer to the following link to read our terms and conditions on our website: https://www.kinderopvangwalcheren.nl/nl/kow/kow/over-kow/algemene-vw---regels.htm and the following link to read our privacy statement https://www.kinderopvangwalcheren.nl/privacy/
- Yes
- No

Registration Form – School care (BSO)