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

Gender:
(Expected) dDate of Birth:

Gewenste opvang

Preferred start date:
Preferred days for care:

Your details

Title:
Date of birth:
Are you employed:
Address:
 

Details of the second parent/guardian

Title:
Date of birth:
Are you employed:
Address:
 

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