New Customer Registration Form

WillowTree Children's Society

About Me Form
Child's Details:
Child's Full Name*

First NameLast Name
Child's Date of Birth*

MonthDayYear
Date
This is an "About Me" form for new children. All sections are optional, Staff will review this to get to know your child and their routines, so we can best meet their needs.
Eating

Parents are responsible for providing lunch and snacks that meet the Canada Food Guide.
What time approximately does your child normally eat?
Breast FedBottle FedBoth
BottleCupSpoon/Fork
YesNoVaries/Picky
Notes for eating:
Please note any foods you DO NOT want your child to eat, any major dislikes in food and/or favorite foods.

Please provide any additional information that will help us to provide your child with the best possible care.
What would you like your child to experience and learn at our center?
Should be Empty:

WillowTree Children's Society