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Thank you for choosing a location of Xpect013!
After receiving the application, we will contact you within 5 working days.

Would you like to register another child? Please use the button below. To save you time, your personal details have already been filled in for you.

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Registration childcare

Fill out the form below to register your child for childcare. After receiving the registration, the location of your choice will contact you within 5 days. If you have special wishes, please enter them in the comments box.

Note: You can register one child per form. Would you like to register another child? After submitting the first form, you can easily fill out another form.

Voor een Nederlandstalig aanmeldformulier, klik op de vlag bovenaan het scherm.

Personal information child

Initials + First name:

Prefix + Surname:

Gender:

Boy

Girl

Unkown

Date of birth or due date:

Citizen service number (BSN):

Childcare information

Type of childcare:

Location:

Preferred starting date:

For which day(s) are you looking for childcare?:

Monday

Tuesday

Wednesday

Thursday

Friday

For which day(s) are you looking for childcare?:

Monday

Tuesday

Wednesday

Thursday

Friday

Contract types:

Pre-school 40 weeks

Comments (optional):

Elementary school:

For which day(s) are you looking for childcare?:

Monday

Tuesday

Wednesday

Thursday

Friday

Contract types:

Out of school care 12 weeks

Out of school care 40 weeks

Out of school care 52 weeks

Before school care 40 weeks

1st parent / guardian

Initials + First name:

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:

Occupation:

2nd parent / guardian

Initials + First name:

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:

Occupation:

General

Have you been on our guided tour?:

Yes

No

How did you find our childcare organisation?:

Privacy statement:

I give permission to use my contact details to get in touch with me and to complete the registration, as can be read in the privacy- and cookie statement.

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