Community Preschool Registration Form Page 3

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Approximately how many hour of sleep does your child get per night?
________________
Is the child with a babysitter during the day?_________
If yes, what days?________________________
Babysitter’s Name:______________________________
Phone:__________________
Any other children in the family (Name & Age):
1)___________________________
2)___________________________
3)___________________________
4) __________________________
Other people living in the home:
_________________________________________________________
Does your child have any group experience (where)?
_____________________________________________________________
_____________________________________________________________
Since you, as parents, will be helping in the classroom, do you have any interests or
hobbies that you would be willing to share with the children?
_____________________________________________________________
_____________________________________________________________
**Please obtain a medical release form from your child’s pediatrician prior to the
start of the school year. This form will be collected at the August parent meeting.
Revised 2014 (KObarka/KPax)

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