December gifts

As a caregiver, please apply a child (0 to 16 years old) living in Breda and surrounding area, in the month of October.

First name

Last name

I'm employed at the following assistance agency

Email address

Phone number

Are you familiar with this projects procedures?

Yes

No

Did you verify with the parents that help is wanted?

Yes

No

How many children from 0 to 16 do you want to register? Fill in the first and last name and date of birth of each child.

Name child 1

Date of birth 1

Name parent / guardian

Streetname + housenumber parent / guardian

Zipcode parent / guardian

City parent / guardian

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