Inschrijven – Kinderopvang de Tamarijn

Child's InformationPlease fill in the section below for each child you want to register!

First Name *

Last Name *

Gender *GirlBoy

Photo of Child

No file chosen

Date of birth *

Place of birth *

Name School *

Attending Group *

Name Daycare last attended

Language of instruction

Has your child ever repeated a year? *NoYes

Which year?

Does child have any psychological report? *NoYes

Please submit report

Detailed Information *

Parent/Guardian (1)

First Name *

Last Name *

Place of Employment

Occupation

Cell Phone *

Work phone

Address *

Email *

Parent/Guardian (2)

First Name *

Last Name *

Place of Employment

Occupation

Cell Phone *

Work phone

Address *

Email *

Custody Agreement

Spoken Language(s) at home *

Doctor's Name *

Address *

Phone Number *

Cell Phone

Emergency ContactsOther than Parents/Guardians

Full Name

Phone

Authorized PickupsOther than Parents/Guardians

Full Name

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? *

Desired Enrollment Date *

Any Comments/Questions/Suggestions?