CABIN KIDS CHILDCARE
RECORD OF CHILDS INDIVIDUAL NEEDS
Name of Child
First Name
Last Name
Health
*
Rows
YES
NO
Immunisations up to date?
Any Allergies?
Any Medical Problems?
Other
Further information - Health
Food - Likes/dislikes or food Allergies and your childs' favourite foods
Likes/Dislikes
Homework
*
Rows
YES
NO
I would like my child to do their homework at the setting.
I am happy for the childminder to sign my childs' reading record.
I will sign my childs' reading record.
Name of Parent
Signature of Parent
Date
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Submit
Submit
Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Should be Empty: