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Child Information Form
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Child Information Form
Child Information Form
admin
2023-07-19T17:39:59+00:00
Child Information Form
Child's Name
(Required)
First
Last
Please write your child's name, if different from above, as it should appear on all class lists, labels, and cubbies. This is what your child will learn to read and write.
Has your child had other group experiences?
(Required)
Yes
No
If yes, please describe:
How does your child separate?
(Required)
Will your child be enrolled in any other early childhood program while at Presby Kids?
(Required)
Yes
No
If yes, please describe:
Does your child receive services, like Birth to Three, that would want to come into the classroom?
(Required)
Yes
No
If yes, please describe:
How is your child's general health?
(Required)
Does your child have difficulties with any of the following?
(Required)
Vision
Hearing
Speech
None of the above
If your child does have any difficulties, please describe them.
Is a language other than English spoken at home?
(Required)
Yes
No
If yes, what language(s)?
What is the primary language spoken to your child at home?
(Required)
Does your child have siblings?
(Required)
Yes
No
If yes, please provide their names & ages.
How would you describe your child's appetite?
(Required)
Does your child eat breakfast?
(Required)
Yes
No
What time does your child wake up in the morning?
(Required)
What time does your child go to bed at night?
(Required)
Does your child nap?
(Required)
Yes
No
Does your child sleep through the night?
(Required)
Yes
No
Does your child dress themselves?
(Required)
Yes
No
Do they show any interest in doing so?
(Required)
Yes
No
By nature, is your child friendly, quiet or active?
(Required)
What fears does your child have?
(Required)
Do you know what causes/caused the fear(s)?
(Required)
Does your child have a security blanket or toy?
(Required)
What are your child's favorite games, toys, and activities?
(Required)
Is there any additional information about your child or family that would be helpful to teachers / staff? (e.g. moving, new baby, death in the family, parent travels, etc.)
(Required)
Please submit a photo of your child.
(Required)
Max. file size: 300 MB.
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