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