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Child
First name
+ Initials
Prefix + Last name
Gender
Male
Female
Not known
Date of birth
BSN
Nationality
Select a nationality
Afghaanse
Amerikaanse
Armeense
Belgische
Bosnische
Bulgaarse
Canadese
Chileense
Chinese
Colombiaans
Congolees
Costaricaanse
Cubaanse
Deense
Duitse
Egyptische
Engelse
Eritrese
Ethiopische
Franse
Hongaarse
Ierse
Indiase
Indonesische
Iraakse
Iraans
Israëlische
Italiaanse
Japanse
Kenyaanse
Kroatische
Liberiaanse
Marokkaanse
Nederlandse
Oegandese
Oekraïense
Pakistaanse
Panamese
Peruaanse
Poolse
Portugese
Roemeense
Somalische
Spaans
Sri Lankaanse
Staatloos
Surinaamse
Syrische
Thaise
Tsjechische
Turkse
Venezolaans
Vietnamese
Zuid-Afrikaanse
Zweedse
Other...
Desired placement
Type of childcare
Select the type of childcare
Dagopvang
Peuteropvang
Buitenschoolse opvang
Location
Alles Kidz Kinderopvang
Preferred starting date
Comments (optional)
Age
from 0 up to and including 4 years!
Childcare
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Ochtend
07:30 - 13:00
Ochtend
Middag
13:00 - 18:30
Middag
Hele dag
07:30 - 18:30
Hele dag
Monday
Mo
Tuesday
Tu
Wednesday
We
Thursday
Th
Friday
Fr
Age
from 2 up to and including 4 years!
VVE indication
Yes
No
Childcare
Mon, Tue, Thu, Fri from 08:45 to 14:15
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Monday
Tuesday
Wednesday
Thursday
Friday
Primary school
Choose a primary school
Jan Ligthartschool Rendierhof 1/2
Jan Ligthartschool Rendierhof 3/8
Other...
Morning
07:30 - 08:30
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Monday
Tuesday
Wednesday
Thursday
Friday
Afternoon
school time - 18:30
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Monday
Tuesday
Wednesday
Thursday
Friday
Holiday care
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Monday
Tuesday
Wednesday
Thursday
Friday
1st parent / carer / contractor
First name
+ Initials
Prefix + Surname
Gender
Male
Female
Date of birth
Citizen service number (BSN)
Street
+ House number
+ Suffix
Postal code
+ City/town
Telephone number
Email address
Relationship to the child
Kies een relatie
Choose a relationship
Mother
Father
Stepmother
Stepfather
Foster mother
Foster father
Grandmother
Grandfather
Aunt
Uncle
Niece
Nephew
Sister
Brother
Stepsister
Stepbrother
Friend (female)
Friend (male)
Other...
Occupation
Select
(self-)employed, freelancer, artist, etc
following a course or an integration program
following a trajectory at the UWV (Dutch Employee Insurance Agency) or through your ex-employer
unemployed
2nd parent / carer
First name + Initials
Prefix + Surname
Gender
Male
Female
Date of birth
Citizen service number (BSN)
Street + House number + Suffix
Postal code + City/town
Telephone number
Email address
Relationship to the child
Kies een relatie
Choose a relationship
Mother
Father
Stepmother
Stepfather
Foster mother
Foster father
Grandmother
Grandfather
Aunt
Uncle
Niece
Nephew
Sister
Brother
Stepsister
Stepbrother
Friend (female)
Friend (male)
Other...
Occupation
Select
(self-)employed, freelancer, artist, etc
following a course or an integration program
following a trajectory at the UWV (Dutch Employee Insurance Agency) or through your ex-employer
unemployed
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