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Parent Name
First Name
Last Name
E-mail
example@example.com
Phone Number
-
Area Code
Phone Number
Name of Child
First Name
Last Name
Age of Child
Is your Child Potty Trained?
Yes
No
Academic development is key in our program. The next questions below is to see where your child stands on the learning spectrum.
Does Your child hold conversations?
Yes
No
Does your child know shapes?
Yes
No
Does your child know colors?
Yes
No
Does your child recognize letters or numbers?
Yes
No
Can they trace letters or numbers?
Yes
No
Emotional development at an early age helps one to have more control over their choices. These next questions help us understand where they stand emotionally:
How does your child express themselves when they are angry?
How does your child express themselves when they are sad?
How does your child express themselves when they are hungry?
How does your child express themselves when they are confused?
How does your child express themselves when they are excited?
What is the best day/time to reach you?
Rows
Morning
8a-12pm
Afternoon
1p-5p
Evening
6p or later
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
How did you find out about Fruitful Trees Learning Center?
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