Register

Child's information

Name is verplicht.
First name is verplicht.
Date of birth (expected) is verplicht.
Desired start date is verplicht.
Name is verplicht.

Kind of care

(check which is desired) is verplicht.

Parent's information

Name is verplicht.
First initials is verplicht.
Relationship to child is verplicht.
Address is verplicht.
Post code is verplicht.
City is verplicht.
Mobile telephone number is verplicht.
E-mail address is verplicht.

Desired days

(check which is desired) is verplicht.

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