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The Little Lane Nursery - All About Me (Under 2)
We are delighted that you are joining The Little Lane Nursery family. In order that we can get to know your child, please can you complete this form.
34
Questions
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1
Which of The Little Nursery settings are you joining / do you attend?
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Stamford
Easton on the Hill
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2
Your Child's Name
*
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First Name
Last Name
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3
Your Child's Date of Birth
*
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Date
Day
Month
Year
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4
What date will your Child be starting nursery?
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If you do not have an exact date, indicate your Child's likely start date.
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Date
Day
Month
Year
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5
Which sessions will your Child be attending?
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If you do not have the exact sessions agreed, indicate your Child's likely attendance.
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PM
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Monday
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Tuesday
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Wednesday
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Friday
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Tuesday
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Friday
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PM
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AM
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PM
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6
My family includes:
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Details of immediate family, extended family and pets
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7
Do you have a family photo you'd like to share?
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Select files to upload
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: 10.6MB
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8
Does your Child attend another nursery, preschool, childminder or have nanny?
*
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YES
NO
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9
Please provide further details of the other nursery, preschool, childminder or nanny?
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Whether attending currently or in the past - please provide details.
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10
Does your Child drink milk?
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Whether it be breast milk, formula, cows milk or any other milk alternatives.
YES
NO
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11
Please provide more details about which milk your Child drinks
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Please provide as much detail as possible, including details of milk type, brand, bottle make, milk temperature, amount per bottle, how often etc
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12
Toileting Routines (Nappies, potty, toilet):
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Please provide as much detail as possible, including brands of nappy, nappy creams (used and when), likes/dislikes etc.
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13
Sleep Routines:
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Please provide as much detail as possible, including how they like to go to sleep, how long they should sleep, what position they like to sleep in, do you have a strict routine etc.
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14
When I am upset or tired I need:
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Please provide as much detail as possible, including details of any comforters (dummy, toy etc) and whether there are any restrictions in terms of use (e.g. sleep).
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15
Languages - my home language is:
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16
Other languages - I can also speak:
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17
Languages - some words in my home language you should know are:
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18
Some words I can say (single words, vocabulary, sentences etc):
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19
My family and I celebrate (cultural, religious events etc)
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20
My family celebrate these by:
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21
My favourite things to play with include:
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Include anything that I am interested in or things that I like to do.
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22
I get upset when / I need support with:
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Is there anything in particular that really upsets your Child?
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23
When I go outside I like to play with:
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24
My favourite songs are:
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25
My favourite story is:
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26
Foods I particularly like:
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27
Foods I seem to dislike:
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28
Allergies / dietary / special dietary requests & preferences:
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Please provide as much information about any of the above including any medical details.
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29
Communication & Language
*
This field is required.
The following information will help to give us an insight into your child's developmental stage, allowing us to build and extend on it during their time with us at nursery.
With Support
With Confidence
Not Applicable
Turns towards familiar sounds. They are also startled by loud noises and accurately locate source
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Gaze at faces, copying facial expressions and movements like sticking out their tongue
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Row 1, Column 2
Watches someones face as they talk
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Copy what adults do, taking 'turns' in conversations (through babbling) and activities
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Enjoying singing, music and toys that make sounds
Row 4, Column 0
Row 4, Column 1
Row 4, Column 2
Recognises and are calmed by a familiar and friendly voice
Row 5, Column 0
Row 5, Column 1
Row 5, Column 2
Listen and respond to simple instruction
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Row 6, Column 1
Row 6, Column 2
Make sounds to get attention in different ways (for example crying when hungry or unhappy, making gurgling sounds)
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Row 7, Column 2
Babble using sounds like 'baba' and 'mamma'
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Row 8, Column 2
Use gestures like waving and pointing to communicate
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Row 9, Column 1
Row 9, Column 2
Reach or point to something they want while making sounds
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Row 10, Column 1
Row 10, Column 2
Copy your gestures and words
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Row 11, Column 1
Row 11, Column 2
Constantly babble and use single words in context - 'cup', 'milk', 'daddy'
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Row 12, Column 1
Row 12, Column 2
Understand frequently used words such as 'all gone', 'no' and 'bye bye'
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Row 13, Column 1
Row 13, Column 2
Turns towards familiar sounds. They are also startled by loud noises and accurately locate source
Gaze at faces, copying facial expressions and movements like sticking out their tongue
Watches someones face as they talk
Copy what adults do, taking 'turns' in conversations (through babbling) and activities
Enjoying singing, music and toys that make sounds
Recognises and are calmed by a familiar and friendly voice
Listen and respond to simple instruction
Make sounds to get attention in different ways (for example crying when hungry or unhappy, making gurgling sounds)
Babble using sounds like 'baba' and 'mamma'
Use gestures like waving and pointing to communicate
Reach or point to something they want while making sounds
Copy your gestures and words
Constantly babble and use single words in context - 'cup', 'milk', 'daddy'
Understand frequently used words such as 'all gone', 'no' and 'bye bye'
With Support
Row 0, Column 0
With Confidence
Row 0, Column 1
Not Applicable
Row 0, Column 2
With Support
Row 1, Column 0
With Confidence
Row 1, Column 1
Not Applicable
Row 1, Column 2
With Support
Row 2, Column 0
With Confidence
Row 2, Column 1
Not Applicable
Row 2, Column 2
With Support
Row 3, Column 0
With Confidence
Row 3, Column 1
Not Applicable
Row 3, Column 2
With Support
Row 4, Column 0
With Confidence
Row 4, Column 1
Not Applicable
Row 4, Column 2
With Support
Row 5, Column 0
With Confidence
Row 5, Column 1
Not Applicable
Row 5, Column 2
With Support
Row 6, Column 0
With Confidence
Row 6, Column 1
Not Applicable
Row 6, Column 2
With Support
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With Confidence
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Not Applicable
Row 7, Column 2
With Support
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With Confidence
Row 8, Column 1
Not Applicable
Row 8, Column 2
With Support
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With Confidence
Row 9, Column 1
Not Applicable
Row 9, Column 2
With Support
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With Confidence
Row 10, Column 1
Not Applicable
Row 10, Column 2
With Support
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With Confidence
Row 11, Column 1
Not Applicable
Row 11, Column 2
With Support
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With Confidence
Row 12, Column 1
Not Applicable
Row 12, Column 2
With Support
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With Confidence
Row 13, Column 1
Not Applicable
Row 13, Column 2
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30
Physical Development
*
This field is required.
The following information will help to give us an insight into your child's developmental stage, allowing us to build and extend on it during their time with us at nursery.
With Support
With Confidence
Not Applicable
Lifts their head while laying on their front
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Push their chest up with straight arms
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Roll over: from front to back, then back to front
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Enjoy moving when outdoors and inside
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Sit without support
Row 4, Column 0
Row 4, Column 1
Row 4, Column 2
Begin to crawl in different ways and directions
Row 5, Column 0
Row 5, Column 1
Row 5, Column 2
Pull themselves upright and bouncing in preparation for walking
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Row 6, Column 1
Row 6, Column 2
Reach out for objects as coordination develops
Row 7, Column 0
Row 7, Column 1
Row 7, Column 2
Pass things from one hand to the other. Let go of things and hands them to another person, or drops them
Row 8, Column 0
Row 8, Column 1
Row 8, Column 2
Gradually gain control of their whole body through continual practice of large movements, such as waving, kicking, rolling, crawling and walking
Row 9, Column 0
Row 9, Column 1
Row 9, Column 2
Clap and stamp to music
Row 10, Column 0
Row 10, Column 1
Row 10, Column 2
Lifts their head while laying on their front
Push their chest up with straight arms
Roll over: from front to back, then back to front
Enjoy moving when outdoors and inside
Sit without support
Begin to crawl in different ways and directions
Pull themselves upright and bouncing in preparation for walking
Reach out for objects as coordination develops
Pass things from one hand to the other. Let go of things and hands them to another person, or drops them
Gradually gain control of their whole body through continual practice of large movements, such as waving, kicking, rolling, crawling and walking
Clap and stamp to music
With Support
Row 0, Column 0
With Confidence
Row 0, Column 1
Not Applicable
Row 0, Column 2
With Support
Row 1, Column 0
With Confidence
Row 1, Column 1
Not Applicable
Row 1, Column 2
With Support
Row 2, Column 0
With Confidence
Row 2, Column 1
Not Applicable
Row 2, Column 2
With Support
Row 3, Column 0
With Confidence
Row 3, Column 1
Not Applicable
Row 3, Column 2
With Support
Row 4, Column 0
With Confidence
Row 4, Column 1
Not Applicable
Row 4, Column 2
With Support
Row 5, Column 0
With Confidence
Row 5, Column 1
Not Applicable
Row 5, Column 2
With Support
Row 6, Column 0
With Confidence
Row 6, Column 1
Not Applicable
Row 6, Column 2
With Support
Row 7, Column 0
With Confidence
Row 7, Column 1
Not Applicable
Row 7, Column 2
With Support
Row 8, Column 0
With Confidence
Row 8, Column 1
Not Applicable
Row 8, Column 2
With Support
Row 9, Column 0
With Confidence
Row 9, Column 1
Not Applicable
Row 9, Column 2
With Support
Row 10, Column 0
With Confidence
Row 10, Column 1
Not Applicable
Row 10, Column 2
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of 11
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31
Personal, Social & Emotional
*
This field is required.
The following information will help to give us an insight into your child's developmental stage, allowing us to build and extend on it during their time with us at nursery.
With Support
With Confidence
Not Applicable
Find ways to calm themselves, through being calmed and comforted by their key person
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Establish their sense of self
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Express preferences and decisions, they also try new things and start establishing autonomy
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Engage with others through gestures, gaze and talk
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Use that engagement to achieve a goal. For example, gesture towards their cup to say they want a drink
Row 4, Column 0
Row 4, Column 1
Row 4, Column 2
Thrive as they develop self-assurance
Row 5, Column 0
Row 5, Column 1
Row 5, Column 2
Look back as they crawl or walk away from their key person
Row 6, Column 0
Row 6, Column 1
Row 6, Column 2
Play with increasing confidence on their own and with other children, because they know their key person is nearby and available
Row 7, Column 0
Row 7, Column 1
Row 7, Column 2
Feel confident when taken out around the local neighbourhood, and enjoy exploring new places with their key person
Row 8, Column 0
Row 8, Column 1
Row 8, Column 2
Feel strong enough to express a range of emotions
Row 9, Column 0
Row 9, Column 1
Row 9, Column 2
Grow in independence, rejecting help ('me do it'). Sometimes this leads to feelings of frustration and tantrums.
Row 10, Column 0
Row 10, Column 1
Row 10, Column 2
Find ways to calm themselves, through being calmed and comforted by their key person
Establish their sense of self
Express preferences and decisions, they also try new things and start establishing autonomy
Engage with others through gestures, gaze and talk
Use that engagement to achieve a goal. For example, gesture towards their cup to say they want a drink
Thrive as they develop self-assurance
Look back as they crawl or walk away from their key person
Play with increasing confidence on their own and with other children, because they know their key person is nearby and available
Feel confident when taken out around the local neighbourhood, and enjoy exploring new places with their key person
Feel strong enough to express a range of emotions
Grow in independence, rejecting help ('me do it'). Sometimes this leads to feelings of frustration and tantrums.
With Support
Row 0, Column 0
With Confidence
Row 0, Column 1
Not Applicable
Row 0, Column 2
With Support
Row 1, Column 0
With Confidence
Row 1, Column 1
Not Applicable
Row 1, Column 2
With Support
Row 2, Column 0
With Confidence
Row 2, Column 1
Not Applicable
Row 2, Column 2
With Support
Row 3, Column 0
With Confidence
Row 3, Column 1
Not Applicable
Row 3, Column 2
With Support
Row 4, Column 0
With Confidence
Row 4, Column 1
Not Applicable
Row 4, Column 2
With Support
Row 5, Column 0
With Confidence
Row 5, Column 1
Not Applicable
Row 5, Column 2
With Support
Row 6, Column 0
With Confidence
Row 6, Column 1
Not Applicable
Row 6, Column 2
With Support
Row 7, Column 0
With Confidence
Row 7, Column 1
Not Applicable
Row 7, Column 2
With Support
Row 8, Column 0
With Confidence
Row 8, Column 1
Not Applicable
Row 8, Column 2
With Support
Row 9, Column 0
With Confidence
Row 9, Column 1
Not Applicable
Row 9, Column 2
With Support
Row 10, Column 0
With Confidence
Row 10, Column 1
Not Applicable
Row 10, Column 2
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32
Your Name
*
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First Name
Last Name
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33
Signature Parent/Guardian
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Clear
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34
Date
*
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/
Date
Year
Month
Day
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