Direct registration

It’s great that you want to become part of the Little Jungle family! To process the registration as well and quickly as possible, we ask you to complete the form below. By signing this form, you give Little Jungle Childcare permission to use the information you provide. Click here for our privacy policy.

After submitting your registration, we will contact you to confirm your registration within 2 business days. Thank you for your patience!

Your child’s details

First Name: Last Name:

Gender:

boy girl unknown

Gender: (Expected) dDate of Birth:

(Expected) dDate of Birth:

Nationality: Nationality: BSN-number:

Gewenste opvang

Preferred start date:

Type of care: ?VVE (pre-school and early-school education) is the nationally established method to stimulate small children in their development with the goal of combating language deficits.
Did you know that all toddlers (27 months to 4 years old) have the right to 5.5 hours of subsidised toddler care per week? The municipality of Eindhoven finds it important that all toddlers are given an equal start when they begin attending primary school. That is why all toddlers should have the chance to visit the toddler care. VVE indication: Preferred location:

Preferred days for care:

Monday Tuesday Wednesday Thursda Friday

Your details

Title:

Mr. Ms.

First Name: Last Name: Date of birth:

Date of birth:

Nationality: Nationality: BSN-number:

Are you employed:

Yes No

Address:

Postal code: House number:

change

Street: City:

Phone number: Email: Enter the details of a second parent/guardian:

Details of the second parent/guardian

Title:

Mr. Ms.

First Name: Last Name: Date of birth:

Date of birth:

Nationality: Nationality: BSN-number:

Are you employed:

Yes No

Address:

Postal code: House number:

change

Street: City:

Phone number: Email:

Leave this field empty: