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Child
First name
+ initials
:
insertion name(s)
+ Lastname
:
Gender:
Boy
Girl
Unknown yet
Emergency number 1
+ contactname
:
Emergency number 2 + contactname:
Emergency number 3 + contactname:
Taking of pictures permitted?
:
Yes
No
Birthday
+ SSN
:
Nationality
:
Choose nationality
Dutch
German
Belgian
French
Polish
Somali
Czech
Hungarian
Thai
Iraqi
Stateless
Portuguese
Armenian
Moroccan
Italian
Kenyan
Syrian
American
Canadian
Pakistani
Congolese
English
Turkish
Swedish
Bosnian
Eritrean
Sri Lankan
Vietnam ...
Egyptian
Panamanian
Croatian
Indian
Cuban
Surinamese
Otherwise...
Vaccinated?
:
Yes
No
Doctor
:
Choose a doctor
Aberson, Gezondheidscentrum Venserpolder, Amsterdam
Baaij, Gezondheidscentrum Holendrecht, Amsterdam
Bakker, Gezondheidscentrum Venserpolder, Amsterdam
Boidin, Gezondheidscentrum Holendrecht, Amsterdam
Bouma, Gezondheidscentrum Reigersbos, Amsterdam
Brada, Huisartsenpraktijk Aemstelwijck, Ouderkerk aan de Amstel
Brand, Gezondheidscentrum Reigersbos, Amsterdam
Clemens, Huisartsenpraktijk Aemstelwijck, Ouderkerk aan de Amstel
Corssmit, Huisartsenpraktijk Aemstelwijck, Ouderkerk aan de Amstel
Ebing, Huisartsenpraktijk de Waal en Boon, Amsterdam
Glowienka, Gezondheidscentrum Holendrecht, Amsterdam
Griever-Bos, Huisartsenpraktijk Aemstelwijck, Ouderkerk aan de Amstel
Hogervorst, Gezondheidscentrum Reigersbos, Amsterdam
Jobse, Huisartsenprakijk Yaylali, Amsterdam
Keck, Gezondheidscentrum Reigersbos, Amsterdam
Klaphake, Gezondheidsplein Gein, Amsterdam
Kohstamm, Gezondheidscentrum Holendrecht, Amsterdam
Lingbeek, Gezondheidsplein Gein, Amsterdam
Litjens, Gezondheidscentrum Venserpolder, Amsterdam
Marissen, Gezondheidscentrum Holendrecht, Amsterdam
Ogbuli, Huisartsenpraktijk Drs. F. Obguli, Amsterdam
Olde Boerrigter, Gezondheidsplein Gein, Amsterdam
Podzimek, Huisartsenpraktijk Aemstelwijck, Ouderkerk aan de Amstel
Robberse, Gezondheidscentrum Venserpolder, Amsterdam
Rozemeijer, Gezondheidscentrum Venserpolder, Amsterdam
Smit, Huisartsenpraktijk Aemstelwijck, Ouderkerk aan de Amstel
Stroucken, Gezondheidscentrum Venserpolder, Amsterdam
Tamboer, Huisartsenpraktijk Aemstelwijck, Ouderkerk aan de Amstel
Timmer, Gezondheidscentrum Holendrecht, Amsterdam
Tjin-A-Ton, Frakking en Tjin-A-Ton, Amstelveen
Vierhout, Gezondheidscentrum Gein, Amsterdam
Vrakking, Gezondheidscentrum Gein, Amsterdam
Vriesema, Gezondheidscentrum Holendrecht, Amsterdam
Willems, Gezondheidsplein Gein, Amsterdam
Yaylali, Huisartsenprakijk Yaylali, Amsterdam
Zahawi, Huisartspraktijk Zahawi, Amsterdam-Zuid Oost
de Korte, Gezondheidscentrum Reigersbos, Amsterdam
de Raad, Huisartsenpraktijk Aemstelwijck, Ouderkerk aan de Amstel
de Voogd, Gezondheidsplein Gein, Amsterdam
de Waal, Huisartsenpraktijk de Waal en Boon, Amsterdam
van Buuren, Gezondheidscentrum Reigersbos, Amsterdam
van Elswijk, Huisartsenpraktijk Aemstelwijck, Ouderkerk aan de Amstel
van Hensbergen, Gezondheidscentrum Holendrecht, Amsterdam
van der Horst, Gezondheidscentrum Reigersbos, Amsterdam
Otherwise...
Placement
Care type
:
Daycare
Preschool
After school care
Establishment
:
Nieuwlandhof (Amsterdam)
Brink (Amsterdam)
BSO Buddies Brink (Amsterdam)
BSO Buddies Mijehof (Amsterdam)
Desired start date
:
Notes:
Daycare
Age:
from 0 up to and including 4 years!
Package
:
Choose package..
Vestiging: Kinderdagverblijf Buddies Stadshart (STH)
Default: 8.00 - 13.00 and 13.00 - 18.00
Early: 7.00 - 18.00
Late: 8.00 – 18.30
Early and Late: 7.00 – 18.30
Incidential: 7.00 - 12.30 and 12.30 - 18.00
Default: 8.00 – 13.00 and 13.00 – 18.00
Early: 7.30 – 18.00
Late: 8.00 – 18.30
Early and Late: 7.30 – 18.30
Incidential: 7.30 – 13.00 and 13.00 - 18.30
Early: 7.30 – 18.00
Late: 8.00 – 18.30
Early and Late: 7.30 – 13.00 and 13.00 – 18.30
Early Incidential : 7.30 – 13.00 and 13.00 - 18.30
Late Incidential: 7.30 – 13.00 and 13.00 - 18.30
Morning:
Monday
Tuesday
Wednesday
Thursday
Friday
Afternoon:
Monday
Tuesday
Wednesday
Thursday
Friday
Preschool
Age:
from 2 up to and including 4 years!
VVE indication
:
Yes
No
Morning:
from 8.30 until 12.30
Monday
Tuesday
Wednesday
Thursday
Friday
After school care
Age:
from 4 up to and including 12 years!!
Primary school
:
Choose a primary school
Crescendo
Daltonschool Nellestein
De Blauwe Lijn
De Brink
EBS De Morgenster
Mobiel
OBS De Ster
OBS De Tamboerijn
OBS Holendrecht
SBO Professor Dumont
Samenspel Locatie 1
Samenspel Locatie 2
Package
:
Choose package..
Just schoolweeks : from school end until 18.30
Schoolweeks and holidays : from school end until 18.30 and holidays from 8.30 until 18.30
Incidental daycare : from school end until 18.30 and holidays from 8.30 until 18.30
Afternoons:
Monday
Tuesday
Wednesday
Thursday
Friday
1st parent / carer / contractor
First name
+ initials
:
insertion(s)
+ Last name
:
Gender
:
Male
Female
Birthday
+ SSN
:
Nationality
:
Choose nationality
Dutch
German
Belgian
French
Polish
Somali
Czech
Hungarian
Thai
Iraqi
Stateless
Portuguese
Armenian
Moroccan
Italian
Kenyan
Syrian
American
Canadian
Pakistani
Congolese
English
Turkish
Swedish
Bosnian
Eritrean
Sri Lankan
Vietnam ...
Egyptian
Panamanian
Croatian
Indian
Cuban
Surinamese
Otherwise...
Civil state
:
Maried
Cohabiting
Divorced
Single
Registredpartnership
Relation to the child
:
Mother
Father
Sister
Brother
Step mother
Step father
Step sister
Step brother
Grand mother
Grand father
Foster mother
Foster father
Aunt
Unkle
Niece
Nephew
Girl friend
Boy friend
Neighbour (f)
Neighbour (m)
Otherwise...
Home phone:
Mobile phone
:
Work phone:
E-mailaddress
:
Street
+ number
+ addition:
Postcode
+ Residence
:
The questions below are related to a possible participation in a pre-school route.
Education
:
Kies een opleidingsniveau
Unknown
No education
Elementary school
Primary education
Secondary education
Higher education
University
Other...
Name of education
:
Place of education
:
Diploma
+ Year
:
Yes
No
What is your profession?
:
Do you work in employment?
:
Yes
No
Do you have your own company?
:
Yes
No
Are you a student?
:
Yes
No
Do you receive a student loan?
:
Yes
No
Are you following a reintegration process?
:
Yes
No
Are you following an integration course?
:
Yes
No
Benefit
:
Yes
No
If so, what kind of benefit?
:
If so, what start date?
:
First name + initials:
insertion(s)
+ Last name:
Gender:
Male
Female
Birthday
+ SSN
:
Nationality:
Choose nationality
Dutch
German
Belgian
French
Polish
Somali
Czech
Hungarian
Thai
Iraqi
Stateless
Portuguese
Armenian
Moroccan
Italian
Kenyan
Syrian
American
Canadian
Pakistani
Congolese
English
Turkish
Swedish
Bosnian
Eritrean
Sri Lankan
Vietnam ...
Egyptian
Panamanian
Croatian
Indian
Cuban
Surinamese
Otherwise...
Civil state:
Maried
Cohabiting
Divorced
Single
Registredpartnership
Relation to the child
:
Mother
Father
Sister
Brother
Step mother
Step father
Step sister
Step brother
Grand mother
Grand father
Foster mother
Foster father
Aunt
Unkle
Niece
Nephew
Girl friend
Boy friend
Neighbour (f)
Neighbour (m)
Otherwise...
Home phone:
Mobile phone:
Work phone:
E-mailaddress:
Street + number + addition:
Postcode + Residence:
The questions below are related to a possible participation in a pre-school route.
Education
:
Kies een opleidingsniveau
Unknown
No education
Elementary school
Primary education
Secondary education
Higher education
University
Other...
Name of education:
Place of education:
Diploma + Year
:
Yes
No
What is your profession?:
Do you work in employment?
:
Yes
No
Do you have your own company?:
Yes
No
Are you a student?:
Yes
No
Do you receive a student loan?:
Yes
No
Are you following a reintegration process?:
Yes
No
Are you following an integration course?:
Yes
No
Benefit
:
Yes
No
If so, what kind of benefit?
:
If so, what start date?
:
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