Child's Family Information Sheet
Our teachers would apprecaite knowing about your child and family so that they may be aware of your child's unique needs and circumstances.
Names and ages of siblings:
Adults who live in the home with your child:
Please list the names and kinds of pets in your home:
My child's favorite activities include:
My child's least favorite activities include:
My child's strengths include:
Does your child have a job at home:
Does your child have any fears?
Does your child have a security item?
As teachers, you can help my child most by:
My child needs help with:
Has your child experienced any emotional distress in the recent past?
Is your child receiving any special services from County agencies or from a private source?
What opportunities has your child had to play with other children?
This year I would like my child to:
I would like you to know that:
We are required by licensing regulations to obtain the following information on previous enrollment in school or daycare. If a question does not apply to you, please write n/a in space provided.
Is this your child's first year in school?
Please give the name and location of precious school(s) and number of year(s) attended.
Has your child ever been with a caregiver during the day?
If your child is currently with a caregiver, please indicate the number of hours:
Care is provided at:
How many other children are with the caregiver?