Registration form Public Dalton Elementary School De Klinker-Schiedam
The data on this form will be treated confidentially and we will comply with the General Data Protection Regulation (AVG). Every parent has the right to inspect and correct incorrect administrative data of the child / parent (s) / guardian (s). See also the relevant section in the school guide: https://sites.google.com/klinkerschiedam.nl/website-klinkerschiedam/privacy

Please note: if this is necessary: ​​after completing this form your child is NOT automatically registered for pre-school care in the school when your child is 2,5 years old or for pre-school and after-school care in school if your child is 4 years old.
To register for this, go to: https://www.komkids.nl/inschrijven (choose toddler care -> childcare center Klinker / Klinkerkids. After registration, the KomKids daycare organization will contact you.
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Email *
Student name *
First name / first names student *
Gender *
Date of birth *
Place of birth *
Address *
Postal code *
City *
Telephone number at home *
Social Security number *
You can find the BSN number of your child on a number of documents: - your child's passport or identity card; - proof of deregistration from your child's previous school; - the birth certificate of your child - a copy of the list of persons provided by the municipality at the birth of your child. For the exchange of data with the Education Executive Agency (DUO), the school needs this citizen service number (citizen service number).
First nationality *
Second nationality (if applicable)
Cultural background (country) *
Indien Nederlandse achtergrond, dan Nederlandse invullen.
Country of origin Date in the Netherlands
Fill in if your child was not born in the Netherlands.
Date in the Netherlands
Fill in if your child was not born in the Netherlands.
If registered at another school, please name and address of the school.
Please note: if your child is already enrolled in another school and you have not yet had a meeting with the management of De Klinker, you should first contact the management of De Klinker: 010-4709501 / 06-33329936.
Which language (s) does your child speak and what is the level of this? *
Medications / allergies / reading problems / health comments *
You can also change this via the parent portal if you wish. Do you also want to indicate whether there is dyslexia or other reading problems in the family? If no specifics, type "none".
Emergency number (s) and name / names *
Who can we reach if parent (s) / guardian (s) are not available? For example grandfather / grandmother, other family members, good neighbors....
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