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Registration form

Have you become enthusiastic about het StoerWoud? Fill in the form below to enroll your children at our daycare.
After you hit ‘send’ you will receive a confirmation within two workdays.
We look forward to seeing you at het StoerWoud!

Nederlandstalig inschrijfformulier /
Registration form translated to Dutch:

Child information

First name + initials:

prefix + Lastname:

Sex:

Boy

Girl

Unknown

Date of birth or due date:

BSN:

Placement

Care type:

Establishment:

Preferred starting date:

Remarks:

Child information

Age:

Ages 0-4 years

Opening hours:

7:45 - 18:15

First choice:

Monday Tuesday Wednesday Thursday Friday

Second choice:

Monday Tuesday Wednesday Thursday Friday

Flexibility:
YesNo

Playgroup

Age:

Ages 2-4 years

Opening hours:

8:15 - 12:45

First choice:

Monday Tuesday Wednesday Thursday Friday

Second choice:

Monday Tuesday Wednesday Thursday Friday

Flexibility:
YesNo

After school program

School:

Age:

Ages 4-12 years

Opening hours:

8:15 - 18:30

1st choice:

Monday Tuesday Wednesday Thursday Friday

2nd choice:

Monday Tuesday Wednesday Thursday Friday

1st choice:

Monday Tuesday Wednesday Thursday Friday

2nd choice:

Monday Tuesday Wednesday Thursday Friday

Flexibel:
YesNo

1st parent / caregiver

Firstname + initials:

Prefix + Lastname:

Sex:

Male

Female

Date of birth:

BSN:

Mobile phone number:

E-mailaddress:

Street:

House number + Suffix:

Postal code:

City:

Firstname + initials:

Prefix + Lastname:

Sex:

Male

Female

Date of birth:

BSN:

Mobile phone number:

E-mailaddress:

Street:

House number + Suffix:

Postal code:

City:

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