register

Registration Form Parents

Fields marked with an asterix(*) are mandatory.

Registration

For which city would you like to subscribe?* Amsterdam Utrecht Haarlem

General Information

Street* Number* Postcode* City* Telephone number* Email address*

Parents

Parent 1

First name* Last name* Date of Birth Occupation* male female

Parent 2 (optional)

First name Last name Date of Birth Occupation male female

- a parent less + another parent

Children

Child 1

Name* Date of Birth* boy girl

Child 2

Name Date of Birth boy girl

Child 3

Name Date of Birth boy girl

Child 4

Name Date of Birth boy girl

Child 5

Name Date of Birth boy girl

+ another child - a child less

Family

Brief description of family (interests, life style, etc.)* Pets Other particulars

Payment Information

Bankaccount:*

Name accountholder:* City:*

Betaling abonnementsgeld:* I agree with the direct debit payment of €5,50 per month.

Final Information

Are you also registered at PoetsStudent? yes no

How did you hear of OppasStudent? (If via the Internet, please indicate which website)*

I agree with the terms of agreement

Babysitter request

What type of babysitter request would you like to make?*

Preferences OppasStudent

Preference sitter gender* male female no preference

Sitter with driver license?* yes no preference

Sitter with bicycle?* yes no preference

Sitter should be proficient in another language other than Dutch, namely:

How often do you need a babysitter?* +/- two or three times a month every week several times a week

If you need a babysitter more then once a week, do you agree with two permanent babysitters?* yes (condition if you need a babysitter three or more times a week) no n.a.

When a babysitter is needed at fixed times, fill in the schedule.
Please only fill in the days you need a babysitter (leave the other fields empty):

	times
monday
thursday
wednesday
thursday
friday
saturday
sunday

Remarks

When is a replacement needed?

Date*

Times (estimate)* from: till:

Date*

Tijden* from: till:

Date*

Tijden* from: till:

+ another date - a date less

Additional Comments

Confirmation

General Information

Name:
Address:
Postcode:
City:
Telephone number:
Email address:

Payment information:

Bankaccount:
Name accountholder:
City:

Your babysitter request:

requested

The mediation costs for this request are €???.

LET OP: je aanvraag is pas definitief wanneer je betaling van de bemiddelingskosten via iDeal voldaan is.

Warning: Because your browser doesn't support javascript the connection with iDeal cannot be made automatically. Please contact OppasStudent for instructions on completing your registration.

...

Registration Form Students

Fields marked with an asterix (*) are mandatory.

Personal Information Student

First name* Last name* Date of Birth* Study* Year of study* Educational Institution* Other training/courses done

General Information

Adress* Postcode* City* Telephone number* Email address* Brief description of yourself (interests, life style, etc.)* Motivation to babysit* Add a copy of your ID*

Liability of our students

If you want to work at OppasStudent, you need to have a liability insurance. We can arrange one for you via Reaal. The costs are €3,33 per month (direct debit) and you will be assured up to an amount of €1.250.000,- per claim. You can fill in the needed form during the interview with us. The policy will be delivered automatically at your home address.

Do you already have a liability insurance?* yes yes via my parents no, but I would like OppasStudent to arrange one for me and fill in the form during the interview

If you already have a liability insurance please fill in the following fields

Insurance company In the name of Policy number

Profile Information OppasStudent

For which city would you like to subscribe?* Amsterdam Utrecht Haarlem

Do you have any experience as a sitter?* yes no

If yes, which age-range? babies toddlers preschoolers older children

Are you allergic to pets? If yes, to which one(s)?

Do you have pets at home?

Do you have a driver's license? yes no

Do you have a bicycle? yes no

What languages do you speak (please indicate your proficiency also)?

How often would you like to babysit?* a couple of times a month weekly more than once a week

Please fill in your availability with specific times and as many options as possible

	morning	midday	evening
monday
thursday
wednesday
thursday
friday
saturday
sunday

Please note: Your availability has to be at least for six months. There is a minimum availability of two weekdays from 15.00 or two weekends a month on Friday- and Saturdayevenings. If you're not sure your availability will be enough, please send us an e-mail before subscribing.

How long do you expect to be available as a babysitter (years/months)?*

Are you willing to work during the weekend once in a while?* yes (condition if you are available less than two weekday afternoons a week from 15:00) nee

Do you have any other wishes?

Payment Information

Bank account (where the entry cost is paid)*

Account name* City*

Note: The payment has to be completed via the payment page. You will be automatically redirected to this page after the registration form is sent.

Final Information

Are you also registered at PoetsStudent? yes no

How did you hear of OppasStudent? (If via the Internet, please indicate which website)*

I agree with the terms of agreement