Annie's Place Child Information Sheet

Annie's Place Child Information Sheet

Please help your child's teachers get to know your child a little better by filling out the following information. Thank you!!

Child's Name

First NameLast Name

My child prefers to be called:

Birth Date

MonthDayYear

Gender

Parent Name(s)

Cell Phone Number

Area CodePhone Number

Can we text you updates and pictures?

Is this your child's first experience away from parents in daycare type setting?

If YES to the above question, do you have any helpful information or "tips" for us to help your child make a smooth transition to our program?

What are your child's favorite activities at home/school?

What positive reinforcements do you use that work best for your child? e.g. stickers, hi-fives, hugs etc

Does your child have any ALLERGIES? If so, please explain:

Does you child have and DIETARY RESTRICTIONS?

Is there anything else you would like to tell us about your child? e.g. Not Potty Trained, Diaper/pull up size, Potty Training tips

Parent(s) Signature

Date

MonthDayYear