ELC - ORIENTATION INFORMATION

ORIENTATION INFORMATION
Child's Full Name*
Date of birth*

DayMonthYear
Date
Preferred Name
Days of attendance*

MondayTuesdayWednesdayThursdayFriday
Likes*
Dislikes*
My Favourite Song is*
My Favourite book is*
My Favourite toy is*
Goals*
FAMILY INFORMATION
I live with*
At home the language we speak is*
Our Cultural background is*
We celebrate*
Our cultural traditions include
Please list the skills, talents, interest and culture that you and your family (not forgetting grandparents) are able to share with the service.
Eating Habits
I have a food allergy/intolerance/dietary requirement*

YESNO
Please explain the allergy
Favourite food*
Food I don't like*
TOILETING HABITS
I AM*

Toilet trainedToilet trainingNappies/Pull-ups
SLEEPING HABITS
I like to have a

SleepRest during the day (include when and how long)
My sleep/ Rest time routine includes
Should be Empty:

ORIENTATION INFORMATION