Enroll | BSO Het Kompasplein Zoetermeer

Child 1

First and last name *

Date of birth *

Boy or girl

Boy Girl

School + class *

Vaccinations (national immunisation programme)

Child 2 (optional)

First and last name

Date of birth

Boy or girl

Boy Girl

School + class

Vaccinations

Parent / guardian 1

First and last name *

Phone number *

Work phone number

Email *

Parent / guardian 2 (optional)

First and last name

Phone number

Email

Address

Street + house number *

Postal code + town *

Family doctor (GP)

GP's name

GP's address + town

Emergency contacts

Emergency contact 1: full name

Relation to child + phone number

Emergency contact 2: full name

Relation to child + phone number

Preferred placement

Preferred start date *

Preferred package

What should we take into account?

For privacy reasons we do not ask for your child's citizen service number (BSN) through this form. That number is needed for the childcare benefit and will be requested later through a secure channel, during the intake meeting.

I agree that this information is stored and used to contact me. I am aware that I can withdraw my consent at any time. See our privacy policy. *

Enrollment form