CHILD PROFILE (2s & 3s)

Please complete the form below. Required fields marked with an asterisk *

Child's Full Name*

Answer Required

Child's Date of Birth*

Answer Required

Name to be used in class*

Answer Required

Names and ages of siblings*

Answer Required

Introduce us to your child!

Child's previous school/daycare experience*

Please specify location and number of years, or type N/A if none)

Answer Required

What opportunities does your child have to play with others the same age?*

Answer Required

What discipline strategies are used with your child?*

Answer Required

Has your child experienced any recent significant stresses? If yes, please briefly describe how your child has reacted to this stress. If no, please type N/A.*

( new sibling, move to a new home, new pet or death of a pet, separation, divorce or death of a relative or friend, etc)

Answer Required

Are there any food allergies, dietary concerns/dislikes?*

Answer Required

Please briefly describe your child's sleeping patterns. *

(bedtime, wake up time, nap - if any)

Answer Required

Is you child currently toilet trained? If yes, does your child need reminding, and at what intervals?*

Answer Required

Please list any regular medications and dosage schedule.*

Answer Required

Please list any special needs or services your child receives. Please identify type of service, frequency and provider.*

(speech therapy, occupational therapy, etc)

Answer Required

Please check any or all of the personality traits listed below that apply to your child.*

Answer Required

Shy/Reserved

Observer

Affectionate

Anxious

Sensitive/frightens easily

Active

Outgoing/curious

Demonstrative

Cautious

Please list any concerns you may have about your child's development. If none, please indicate below.*

(social skills, gross motor or fine motor skills, language, cognitive, etc)

Answer Required

If there any additional information we should know in order to help us get to know your child better? If no, please type N/A.*

Answer Required

What do you hope your child will gain from his/her preschool experience this year?*

Answer Required

Join the 2nd Pres Birthday Club! If you would like to make a donation in honor of your child's birthday, we will purchase a gift in their name. Please select the type of gift that reflects your child's particular area of interst from the list below. The gift will be presented to your child on their birthday (or 'un" birthday if a summer/holiday birthday).

Answer Required

Birthday Club Donation Payment Link

Answer Required

$20.00 - Birthday Club

Name of parent completing form.*

Answer Required

Please fix the highlighted areas below before submitting.

CHILD PROFILE (2s & 3s)