Playgroups

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

Application form Playgroups

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
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 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
   

* 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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