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Authorisation for automatic debit
 

You authorise Gastouderbureau Kroostopvang to automatically debit the monthly costs for childcare.
We only bill you when childcare is actually offered.
You can reject an incorrect debit through your bank for up to 56 days after the debit

 
Fill in the requested information and click on ‘Send’.

 
Providing incorrect information is a crime. Abuse will be reported to the authorities.
 
By clicking on ‘Send’, your registration will be completed.
Depending on the start date of care, one of our childcare coordinators will contact you to make an appointment for intake or introductory meeting. There are no costs associated with enrolment.
 
By completing and submitting this registration form you consent to the collection and processing of your personal data for the following purposes:
- entering into agreements, offering and supervising childminder care, a form of childcare for which parents are entitled to childcare allowance;
- sending out newsletters and mailings in which we provide you with necessary information about childcare, childminding and in particular care.
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 (Algemene Voorwaarden) apply to our services. You can read this on our website.
* = Input is required
This form was created at www.formdesk.com
 
 
We as child care required after expiry of a calendar year, parents make a statement of the child care costs incurred by them . This annual statement we must include certain information , including BSN number of parent (s) and child.
As a childcare institution we are required after a calendar year parents to provide an annual statement of the childcare costs incurred . This annual statement must contain certain information including date of birth of the parent (s) .
This is a list of the residences where kroostopvang can offer. Your residence is not here , please include your hometown in the box below explanatory notes to the form