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Contact
info@doublecaring.nl
06 - 218 216 87
Kinderopvang
Basisonderwijs
POP-UP kinderopvang
EACR registratie
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Required
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Step
1
of
7
14%
Monday 10th of June
10.00-12.00
12.00-15.00
15.00-17.30
17.30-20.00
Tuesday 11th of June
8.00-11.15
11.15-13.30
13.30-16.30
16.30-19.30
Wednesday 12th of June
8.00-11.15
11.15-13.30
13.30-16.30
16.30-19.30
Thursday 13th of June
8.00-10.30
10.30-13.45
Child Intake Form
We're very happy to welcome your child(ren) at the EACR children daycare, organized by Double Daycare. To make sure your child(ren) has the most wonderful time, we would love to receive some information in advance about him/her. Therefore we ask you to fill in this form. Closer towards the event, you’ll receive further information about the daycare program. Thank you in advance!
First and surname parent/carer
Required
First name
Surname
Number of children
Required
Please enter a number from
1
to
4
.
Phone number parent/carer
Required
Email address parent/carer
Required
Child information
Child’s name + surname
Required
First name
Surname
Date of birth
Required
DD slash MM slash YYYY
Gender
Required
Male
Female
Would rather not say
Native language
Required
Does your child speaks / understands English
Required
Yes, fluently (speaking and understanding)
He/she can speak English a bit, but understands well enough
He/she can't speak English at all, but might understand a little bit
No, not at all
Does your child has any allergies
Required
Yes
No
What type of allergie(s) has your child
Is your child potty trained
Required
Yes
No
Does your child need to take a nap during daycare time? If so, tell us any specifics (time, duration, pacifier etc.)
Required
Please tell us some relevant information about your child. What does he/she loves to do?
Required
Do you give permission to take pictures of your children for social media?
Required
Child information
Child’s name + surname
Required
First name
Surname
Date of birth
Required
DD slash MM slash YYYY
Gender
Required
Male
Female
Would rather not say
Native language
Required
Does your child speaks / understands English
Required
Yes, fluently (speaking and understanding)
He/she can speak English a bit, but understands well enough
He/she can't speak English at all, but might understand a little bit
No, not at all
Does your child has any allergies
Required
Yes
No
What type of allergie(s) has your child
Is your child potty trained
Required
Yes
No
Does your child need to take a nap during daycare time? If so, tell us any specifics (time, duration, pacifier etc.)
Required
Please tell us some relevant information about your child. What does he/she loves to do?
Required
Do you give permission to take pictures of your children for social media?
Required
Child information
Child’s name + surname
Required
First name
Surname
Date of birth
Required
DD slash MM slash YYYY
Gender
Required
Male
Female
Would rather not say
Native language
Required
Does your child speaks / understands English
Required
Yes, fluently (speaking and understanding)
He/she can speak English a bit, but understands well enough
He/she can't speak English at all, but might understand a little bit
No, not at all
Does your child has any allergies
Required
Yes
No
What type of allergie(s) has your child
Is your child potty trained
Required
Yes
No
Does your child need to take a nap during daycare time? If so, tell us any specifics (time, duration, pacifier etc.)
Required
Please tell us some relevant information about your child. What does he/she loves to do?
Required
Do you give permission to take pictures of your children for social media?
Required
Child information
Child’s name + surname
Required
First name
Surname
Date of birth
Required
DD slash MM slash YYYY
Gender
Required
Male
Female
Would rather not say
Native language
Required
Does your child speaks / understands English
Required
Yes, fluently (speaking and understanding)
He/she can speak English a bit, but understands well enough
He/she can't speak English at all, but might understand a little bit
No, not at all
Does your child has any allergies
Required
Yes
No
What type of allergie(s) has your child
Is your child potty trained
Required
Yes
No
Does your child need to take a nap during daycare time? If so, tell us any specifics (time, duration, pacifier etc.)
Required
Please tell us some relevant information about your child. What does he/she loves to do?
Required
Do you give permission to take pictures of your children for social media?
Required
Samenvatting bericht
Wie zijn wij?
Onze diensten
Kinderopvang
Onderwijs
POP-UP kinderopvang
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