Day care

If you want to register your child for day care at one of our child centres, please complete the application form and send it. We will soon contact you about your application.

If you receive a benefit from the Social Services you can apply at Dak kindercentra with a letter from the municipality in which is stated that you are following a reintegration program. As a student you must have a current school declaration to register yourself at Dak kindercentra.

Application form Day care

Details applicant

Initials *
Prefix
Last name *
Gender *
Home telephone *
E-mail *
Are you familiar with Dak kindercentra *

Details child

First name
Prefix
Last name
Gender
(Expected) date of birth *
Social security n° (!)
= Social security n°
Do you have more children placed at a child centre of Dak kindercentra?

Your preferences

Select the centre of you choice
First choice *
Second choice
Third choice

Required care

Preferred days
(Minimum of 2 days per week)





Preferred date of commencement *

Information supply

How would you like to receive your monthly invoice? *
How would you like to receive other information (such as the corporate newsletter)? *

Comments

Do you have any comments or suggestions?

Other information

How did you find Dak kindercentra?
Advertising
Internet
Social Media
Mouth to Mouth

Was one of your children at any time placed in a childcare centre from another organisation?
   

* fields are obligatory
 
 

NB: Met afgifte van uw e-mailadres gaat u akkoord met opname van uw e-mailadres in onze klantendatabase. Dak kindercentra respecteert uw privacy en zorgt ervoor dat uw gegevens vertrouwelijk worden behandeld. Dak kindercentra verstrekt uw gegevens niet aan derden. De plaatsingsovereenkomst ontvangt u altijd per post ter ondertekening.

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