ENGELS_Offerteaanvraag

Child's first name

Child's last name

Child's (expected) day of birth

Number of childcare hours

weekly

monthly

You don't need childcare during schoolholidays

Do you have another child?

Child's first name

Child's last name

Child's (expected) day of birth

Number of childcare hours

weekly

monthly

Do you have another child?

Child's first name

Child's last name

Child's (expected) day of birth

Number of childcare hours

weekly

monthly

Do you have another child?

Child's first name

Child's last name

Child's (expected) date of birth

Number of childcare hours

per *

week

maand

Do you have another child?

Child's first name

Child's last name

Child's (expected) day of birth

Number of childcare hours

weekly

monthly

Do you have another child?

child's first name

Child's last name

Child's (expected) day of birth

Number of childcare hours

weekly

monthly

Desired date for start of care

Taxable household income last year or this year's estimate *

Working hours less working partner *

weekly

monthly

annually

First initials

Last name parent 1

First initials

Last name parent 2

Adress

Postal code

City *

Home telephone

Mobile number

E-mail *

You can provide additional information here, as well as the desired times of care or number of hours per week for flexible care

Experiencing problems with completing this form? Please email info@kroostopvang.nl and we will contact you

Your data and its processing are covered by the General Data Protection Regulation (AVG) as part of The General Data Protection Regulation (GDPR), which is intended by the European Union to protect personal data and privacy of citizens. You can read our Privacy Policy on our website.

Our General Terms and Conditions for Gastouderopvang apply to our services. You can read this on our website.

* = Input is required