Application

Contact details

Your name (required)

Your email (required)

Your phone number (required)

Your mobile phone number

You are looking for:

—Please choose an option—PreschoolDaycareAfter-school

Street name

Zipcode / City

Your child

Name

Please leave this field empty.

Date of birth (expected due date) (yyyy-mm-dd)

When will your child start attending House by the park? (yyyy-mm-dd)

Which days will your child come to House by the park? (a minimum of 3 days is required)

MondayTuesdayWednesdayThursdayFriday

Preferred language

EnglishDutchFrench

Additional information (such as applying for a second child or any other relevant information regarding your child)