Get to know your child form

GET TO KNOW YOUR CHILD Q & A

Please fill out the questionnaire below as much as you can, so that we can learn more about your child’s personality, routines at home and any medical needs your child may have. Being that children spend a large part of their day with us it is important that we understand as much about their home life as possible. All information about your child will be kept confidential and at no time will this information be released to anyone.

PERSONALITY

SLEEPING HABITS

EATING HABITS

HEALTH QUESTIONS

If yes, please specify to which food and/or medications he/she is allergic and what his/her reactions are when they are taken.

2) Does your child having any of the problems listed below?

If not which parent is the primary or what is the relationship of the guardian?

Click or tap here to enter text.

Please describe any additional information you would like to make us aware of in the space below

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