Registration form Kralingen You must have JavaScript enabled to use this form. information mother name * surenaam initials * date of birth * Day Day12345678910111213141516171819202122232425262728293031 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Year Year196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023202420252026202720282029203020312032203320342035203620372038203920402041204220432044 bsn * nationality street & nr * zipcode * city * email * home phone * mobile phone * work phone information father name * surname initials * date of birth * Day Day12345678910111213141516171819202122232425262728293031 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Year Year196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023202420252026202720282029203020312032203320342035203620372038203920402041204220432044 bsn * nationality street & nr * zipcode * city * email. * home phone * mobile phone * work phone information child name surname date of birth * Day Day12345678910111213141516171819202122232425262728293031 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Year Year20042005200620072008200920102011201220132014201520162017201820192020202120222023202420252026202720282029203020312032203320342035203620372038203920402041204220432044 the (expected) date of birth bsn childcare kind of childcare * toddler playgroup day-care afterschool care school name has your child already visited childcare before yes, if so what kind no previous child-care Placement wanted by * (date or asap) days number of days no preference no preference 1st choice (please tick box) mon tue wed thu fri 2nd choice (please tick box) mon tue wed thu fri 3th choice (please tick box) mon tue wed thu fri comments The fields with a * have to be filled in.