Extra Information

Would you like to receive more information about our location CompaNanny Titiaan, then please fill out the form below. This has no further obligations. Once we receive the form, we will send you an information package by mail. This information holds more information on philosophy, working method and daily activities. If you prefer English speaking daycare, please indicate in the remarks space (only possible at Atlas Arena and Oegstgeest).

I want information about…

Choose your prefered location below

Preference 1

Preference 2

Preference 3

Details first parent

Surname *

First name *

Address and number *

Area code *

Place of residence *

Telephone number *

Mobile number *

Email address *

Date of Birth * (dd-mm-yyyy)

Employer

Function

Details second parent

Surname

First name

Address and number

Area code

Place of residence

Telephone number

Mobile number

Email address

Date of Birth (dd-mm-yyyy)

Employer

Function

Child 1

First name child 1 *

Surname child 1 *

(Expected) date of birth * (dd-mm-yyyy)

boy girl

School

Child 2

First name child 2

Surname child 2

(Expected) date of birth (dd-mm-yyyy)

boy girl

School

Commencing date

Desired startingdate * (dd-mm-yyyy)

I need flexible child care (varying days each week, only at Aalsmeer, WFC, Prinsenhof and Oegstgeest)

How did you learn about CompaNanny?

Wat zijn voor u de belangrijkste overwegingen bij uw keuze voor kinderopvang? Meerdere opties zijn mogelijk.

Opmerkingen

Remarks

First choice

Second choice