Child's Name
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First Name
Last Name
Is this your child's first experience in a class without a parent or caregiver present?
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If it is their first separation, please share any concerns you have. If they have been in a program before without a parent or caregiver, please indicate whether it was a positive experience and how they reacted to being alone. We are very aware that your child might react differently today after 6 months of life during COVID than they would have done before. It is still helpful for us to get a sense of whether they had experienced any drop-off class in the past.
Does your child have any health issues or food or other allergies that we should be aware of?
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If so, please provide details and any medication that your child will have with them.
Is your child potty-trained?
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It is not a requirement that your child be potty-trained but it's helpful for us to know who is so we know who to remind to use the bathroom at snack time. If your child isn't potty-trained yet, please let us know when you plan to potty train them so that we can support you during the process. We do ask that when you are potty training your child that you send him or her to class wearing pull-ups.
Do we have your permission to assist your child to use the bathroom if they need help?
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Please indicate below whether our teachers have your permission to help your child when they need to use the bathroom, for example, getting on and off the toilet and help with their clothing.
Does your child have a nanny or family member who they are especially close to and who they might talk about?
Does your child have any siblings?
If so, please list their names and ages.
Do you have any pets?
If so, please let us know what pets you have and their names.
Tell us a little about your child - what are his or her favorite things to do, favorite games or books or songs or TV shows/movies? Does your child prefer playing alone or with others? Are there any games that your child especially enjoys playing?
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How would you describe your child? For example, is he/she shy, outgoing, talkative, an observer? Does it take him or her a little while to be comfortable in new surroundings? Please share any information that you think would be helpful for us to know about your child.
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Is there any other information that you would like to share with us that you think would be helpful?
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