Inschrijven Child's InformationPlease fill in the section below for each child you want to register!First Name *Last Name *Gender *GirlBoyPhoto of ChildChoose FileNo file chosenDelete uploaded fileDate of birth *Place of birth *AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre & MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemenZambiaZimbabweName School *Attending Group *-12345678Will be attending group … on desired enrollment dateName Daycare last attendedLanguage of instructionHas your child ever repeated a year? *NoYesWhich year?Does child have any psychological report? *NoYesPlease submit reportDrag and Drop (or) Choose FilesDetailed Information *Would you like to register another Child? *YesNoParent/Guardian (1)First Name *Last Name *Place of EmploymentOccupationCell Phone *Work phoneAddress *Email *Parent/Guardian (2)First Name *Last Name *Place of EmploymentOccupationCell Phone *Work phoneAddress *Email *Child(ren) live(s) with *Both ParentsFather OnlyMother OnlyLegal GuardianOtherHome conditions *MarrriageDivorceSeparationLiving TogehterOtherCustody AgreementSpoken Language(s) at home *Doctor's Name *Address *Phone Number *Cell PhoneEmergency ContactsOther than Parents/GuardiansFull NamePhoneAuthorized PickupsOther than Parents/GuardiansFull NameFull NameDesired days *MonTueWedThuFri(Multiple options possible)Desired Enrollment Date *Number of days a week *5432Monthly FeeXCGXCGXCGXCGLunch & Snack *NoYesXCGXCGFree Homework Guidance (2 - 4 pm) *NoYesXCGFree Pick up Service J.v.Walbeeck/Römerschool *NoYesTotal Monthly FeeXCGInscription FeeXCGAnnual FeeXCGNumber of days a week (2nd child) *5432Monthly Fee (2nd child)XCGXCGXCGXCGLunch & Snack *NoYesXCGXCGFree Homework Guidance (2 - 4 pm) *NoYesXCGFree Pick up Service J.v.Walbeeck/Römerschool *NoYesTotal Monthly Fee (2nd child)XCGInscription FeeXCGAnnual FeeXCGTotal Monthly Fee (all children)XCGRequesting additional Information (additional fees are applicable)Pick up Service from other SchoolsExtended Dismissal Time (after 5:30 pm)Extra Private Tutoring (1-on-1)Tennis ClassesPiano ClassesOther Classes/ WorkshopsShort-term after careOccasional / flexible after careAny Other Comments or Questions?Any Suggestions?Payment Agreement *Yes, I agree to: The payments of the monthly fee for after school care on school days from 12:15 to 17:30 pm. The yearly rate is divided in 12 fixed payments a year. Monthly fee payments in advance, before the 1st of each month. Late payment fee XCG 30 monthly, on overdue invoices 10 days after due date. Until invoices are paid in full, child(ren) may be asked not to attend after care. Payment of inscription fee of XCG 100 and Annual fee of XCG 100 per child. Late pick-up fee XCG 15 per half hour or part of half hour after 5:30 pm. Additional fees for extra half-days, field trips, vacation plans, extra activities if participating. No refund on any amounts already paid. 1 calendar month's notice & payment when canceling daycare or days. Consent Emergency Care *YesNoI authorize the staff of Kinderopvang de Tamarijn to call a medical practitioner or ambulance in the case of accident or illness of my child(ren), if the parents cannot be reached immediately.Consent Photo's *YesNoDocumenting the Centre's activities is a part of our program. From time to time your child's picture may be taken. Kinderopvang de Tamarijn has its own Facebook & Instagram pages and Website. These pages are a place to communicate, see updates of the after school, view pictures of your child, and for people to see firsthand what Kinderopvang de Tamarijn is all about. To post any photos of your child, Kinderopvang de Tamarijn needs you consent to do so. I understand that these photos can be viewed by anyone. I give Kinderopvang de Tamarijn permission to post photos of my child(ren) on their Facebook & Instagram pages and Website.How did you first hear about Kinderopvang de Tamarijn? *Submit Form
