Registration

Music for babies and toddlers

    Information about the child:
    Child’s first name*

    Child’s last name*

    Child’s date of birth*

    Child’s Gender*
    BoyGirlOther

    Information about the parent:
    Parent’s first name*

    Parent’s last name*

    Address (street and number)*

    Postal code*

    Residence*

    Telephone*

    Email address*

    Course information
    My child suits best in group*:
    Babies (0-1 year)Young toddler (1-2 year)Older toddler (2-4 year)

    The course of your choice*:
    AutumnWinterSpringSummer

    Who’s coming with the child?*
    Mother or fatherGrandfather or grandmotherUncle or auntBabysitter or nannyOther

    Important to know:

    Is this the child’s first music for babies and toddlers course?*
    YesNo

    How did you hear from Muziek met Annemiek?*
    FacebookInstagramFlyerNextdoorWord of mouthOther

    Field with a * are required

    Olaf de Olifant in badje