Child Profile Form printable pdf download

CHILD PROFILE FORM

Please take a moment to this form with some additional details about your child. Your child is special and unique. We

would like to and out more about your child’s needs, likes, and dislikes, habits, routines and any other information you feel

is important or relevant.

Child’s name: ______________________

Nick name: ____________________________

Names and ages of siblings:___________

Schools attended by siblings:______________

Other people involved in caring for your child (eg. nanny, grandparents, relatives, etc.)

____________________________________________________________________________

Has your child attended nursery before? Yes No If yes, please state which nursery and for how

long:_________________________________________________________________________

Does your child have a special comforter? (eg. pacifier, blanket, teddy, etc) Yes No If yes, please mention the same

______________________________________________________________

Does your child have any special words, certain things (eg. milk, comforter, toilet, etc)?

Can your child:

a. Wash his/her hands

YES

b. Help get dressed

YES

c. Eat independently (using hands or utensils)

YES

d. Brush his/her teeth

YES

e. Help put away toys

YES

What is your child’s favorites:

a. Food/Drink: ______________

b. Activities/games:___________________

c. Toy: ____________________

d. Song:____________________________

Toilet training (ability/plans):________________________________________________

Daytime sleep pattern:____________________________________________________

Is there anything in particular that your child does not like. Is there anything else that you think we should know about

your child?

Child Profile Form