Aanmelden – basisclub

Sign up

Name parent(s)/guardian(s)

Child's name (first and last name)

Phone number parent(s)/guardian(s)

Date of birth

Email parent(s)/guardian(s)

School & group

School development (skipping a grade, repeating a year)

Would you like us to contact the school to coordinate.

Name & email teacher

Would you like us to contact the school to coordinate.

Name & email IB ‘Intern Begeleider school’

He/she is good at:

Hij/zij heeft deze hulp al gehad:

De focus bij de Basisclub moet liggen op:
The focus at the Basic Club should be on: self-confidence / attitude to work / subject matter* / planning and organizing / homework / other : .................................
In the following subjects:

This is important for the Basisclub to know
(allergies, details about the home situation or the educational situation, etc.):

Parent(s) and/or guardian(s) give consent (check the applicable box):

for coordinating with the school about the guidance. for professional, personal, positive guidance by the Basisclub

Date, name & signature parent(s)/guardian(s)