Application for Preschool 25-26 part 2

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Getting To Know Your Child By providing complete information about your child, you will be assisting staff in creating a positive experience for him/her while in care. List any information about your child's habits, abilities or personality that you feel will be helpful to the

List any information about your childs habits abilities or personality that you feel will be helpful to the staff that cares for your child

staff that cares for your child.

Who is in the childs family

Who lives at home with the child Please include names and ages of siblings if any

What is the primary language spoken in your childs home

Are there any special family arrangements, such as shared parenting, living in two homes, or custody specifications, etc?

Additional Details

Are there any changes or transitions that your child has recently experienced or is experiencing? (divorce, new home, new sibling, death of family member, friend, or pet)

Additional Details

Are there any cultural or religious practices of your family of which we should be aware

Do you have any pets at home If so what are they and what are their names

Has your child had previous preschool or daycare experience?

Additional Details center based in home with family with parents etc

Please check all the words that best describe your child's personality and behavior:

jealous prefers adult attention spontaneous

adventurous cheerful excitablefriendly likes structure/routines quiet stubborn

Are there additional personality and behavior characteristics that would be useful to know about your

Are there additional personality and behavior characteristics that would be useful to know about your child

What routinesactions or items do you use to comfort your child

What causes your child to feel angry or frustrated

What methods do you use to respond to your childs negative behavior

What time does your child normally go to bed at night and wake up in the morning

What might you andor your child be anxious about as heshe starts in this program

What are you andor your child excited about as heshe starts in this program

What are some of your childs favorite play activitiesinterests This helps us in planning activitiesunits for classroom

What are the top three goals you would like your child to achieve this year?

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What other information would be helpful for the staff caring for your child to know

I verify that all the above information in this application is true and complete to the best of my knowledge.

Parent Signature

Date

Parent Name Printed