Toddler Food & Nap Information: Individual
STUDENT NAME
*
LADC Location Attending
*
Please Select
Faith Lutheran/Forest Lake
Hosanna Lutheran/Forest Lake
St. Paul's/Wyoming
Trinity Lutheran/Stillwater
Our Savior's/Stillwater
St. Jude of the Lake/Mahtomedi
Redeemer/White Bear Lake
Community of Grace/White Bear Lake
Presentation/Maplewood
St. Joe's/Waconia
Trinity Falls/Minneapolis
Notre Dame/Minnetonka
St. John the Baptist/Savage
DATE OF BIRTH
*
/
Month
/
Day
Year
Date
START DATE
*
/
Month
/
Day
Year
Date
FOOD / FEEDING Information: Is child still using a bottle at home?
*
NO
Yes
Is child confident with table food/self-feeding?
*
NO
Yes
Does child require assistance with eating table foods?
*
NO
Yes
Does child have any food allergies?
*
NO
Yes (see below)
If yes, Include Allergy Information Here: (details must match information on Health and Allergy Forms)
How does your child like to go to sleep? (Please be detailed)
*
Does your child use a pacifier?
*
NO
Yes
If yes, when?
Any special instructions or information specific to the care of your child?
Preview PDF
Submit
Should be Empty: