Register for Kinderopvang Prins Vleermuis - Prins Vleemuis Campus Wageningen

Explanation

Please let us know when you need care and if you are coming to us with a VVE referral.

Have you already had a tour with us?

Yes

No

Preferred Start Day

Preferred Start Month

Preferred Start Year

Preferred Days

Otherwise:

Child

Firstname

Infix

Lastname

Birthdate (dd-mm-YYYY)

Citizen service number

Roepnaam

Follows the Dutch Immunisation Programme

Remarks

Can be picked up by

General practitioner

Dentist

Parent/Guardian 1 (Parent from whom the direct debit will take place)

Please enter the information of parent/guardian below. If there is more than 1 guardian, please also provide the information of the second guardian below.

Relationship to the child

If other:

Firstname

Infix

Lastname

Street

House number

Postal code no.

City

Birthdate (dd-mm-YYYY)

Phone (work)

Phone (mobile)

Email

Citizen service number

IBAN number

In the name of

Parent/guardian 2

Relationship to the child

If other

Firstname

Infix

Lastname

Street

House number

Postal code no.

City

Birthdate (dd-mm-YYYY)

Phone (work)

Phone (mobile)

Email

By enrolling your child you agree to our terms and conditions. A registration costs €50,00 per child. You will receive a place at our daycare center, an intake and familiarization appointment. Once you have paid the registration fee, your registration is final. If you decide not to enrol, there will be no refund.