Register day care

Thanks you for your interest in childcare organisation Het Steigertje. Please fill in our application form as completely as possible. If you have any questions send an mail to or call our Planning and Placement department at (010) 206 07 11. At the Nieuwstraat location, we offer 40 weeks of childcare per year, at the school holidays the Nieuwstraat location is closed. The other childcare locations are open 52 weeks per year.

Family Composition

1 or 2 parents

Parent 1

(First) Name parent (required)

(Last) Name parent (required)

Gender

BSN number (Social security number) (required)

Birth date (day-month-year) (required)

Address (required)

Housenumber (addition) (required)

Postal code (required)

City (required)

Phone number

Mobile phone number

Email address (required)

are you a student/employed/unemployed? (required)

Name employer: (required)

Parent 2

(First) Name parent 2

(Last) Name parent 2

Gender

BSN number (required)

Birth date (day-month-year) (required)

Address (required)

Housenumber (addition) (required)

Postal code (required)

City (required)

Phone number

Mobile phone number

Email address (required)

are you a student/employed/unemployed? (required)

Name employer: (required)

Child

Born or unborn

Name of your child (required)

Surname of your child (required)

BSN (social security number) (required)
If you do not have a BSN number yet, please enter nine zeros.

Surname of your expected child

(expected) Birth date (day-month-year) (required)

Gender

Family

Language at home

Did you receive a referral Play and Learn Extra during the 20 month visit at CJG?

*We would like to receieve a copy of this

Placing and Location

Preferred Commencing date

Please let us know which location you prefer

MariniershofKipstraatGroot HandelsgebouwVan BrakelstraatNieuwstraat

52 weeks per year

40 weeks per year

For parents with right to childcare benefit (KOT)

Full day care

12 hour: 7:00am-07:00pm
MondayTuesdayWednesdayThursdayFriday

11 hour: 7:00am-06:00pm
MondayTuesdayWednesdayThursdayFriday

11 hour: 7:30am-06:30pm
MondayTuesdayWednesdayThursdayFriday

11 hour: 8:00am-07:00pm
MondayTuesdayWednesdayThursdayFriday

Half day care

Wednesday
7:00-13:0013:00-19:00

Friday
7:00-13:0013:00-19:00

Full day care every other week

All day care on Wednesday* (choose 1 of the above 11 or 12 hours packages)
Odd weeksEven weeks

All day care on Friday* (choose 1 of the above 11 or 12 hours packages)
Odd weeksEven weeks

*Only on Wednesdays and Fridays

Toddlercare for parents with childcare benefits (KOT) and a referral Play and Learn Extra of center for youth and family (CJG)

Are you entitled to childcare benefit and do you have a referral of center for youth and family (CJG)? We would be happy to discuss with you the possibilities. For more information, please refer to the placement and planning department.

YesNo

Toddlercare for parents not entitled to childcare benefit (KOT)

Aren't you entitled to childcare benefit and do want toddler care from the age of 2 or with an indication Play and Learn Extra from the age of 2,5 year?
We would be happy to discuss with you the possibilities.

YesNo

For more information, please refer to the placement and planning department.

Details

To make sure that we can provide the best of care for you and your child, we would like to know if there is any extra care needed. If this is the case, then please discuss this with our team members so that we can conclude if we can offer this type of care needed.

Does your child have a medical history?

Does your child use medication?

Does your child have allergies?

Does your child need extra care?

Questions

Het Steigertje

Through what channel did you hear about Het Steigertje?

Did you have a tour?

Which location?
MariniershofKipstraatGroot HandelsgebouwVan BrakelstraatNieuwstraat

Would you like a tour?

Which location?

MariniershofKipstraatGroot HandelsgebouwVan BrakelstraatNieuwstraat

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