Red Daycare Registration Form - 2016-2017 Page 2

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THE  FOLLOWING  INFORMATION  WILL  HELP  US  GET  TO  KNOW  YOUR  
CHILD  MORE  QUICKLY  AND  HELP  US  PLAN  A  PROGRAM  TO  ENRICH  
THEIR  DAYCARE  EXPERIENCE.  
 
WHAT  ACTIVITIES  DOES  YOUR  CHILD  ENJOY?  
 
PLEASE  LIST  ANY  SPECIAL  WORDS  USED  AT  HOME  FOR  TOILETING,  FAVORITE  
ITEMS,  FAMILY    MEMBERS  ETC.  
 
HOW  DOES  YOUR  CHILD  RELATE  TO  OTHER  CHILDREN?  
 
HAS  YOUR  CHILD  HAD  ANY  PREVIOUS  DAYCARE  EXPERIENCES?  
 
DOES  YOUR  CHILD  HAVE  ANY  PARTICULAR  FEARS?  
 
HOW  CAN  WE  HELP  WITH  ANY  SEPERATION  ANXIETY?  
 
ANY  ADDITIONAL  REMARKS  THAT  WILL  ASSIST  US  IN  PROVIDING  THE  BEST  
POSSIBLE  CARE  FOR  YOUR  CHILD.  
 
 
 
 

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