Child Personal Profile Sheet

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CHILD PERSONAL PROFILE SHEET
Child's Full Name
Nickname_____________
Birthdate______________
Parents Names:__________________________
Does mom work outside home?
Where?__________________
Does dad work outside home?
Where? ___________________
Names and ages of siblings: _____________________________________________
Child is (Check all that apply)(for infants to 2)
sitting with help
using walker
drinks bottles
sitting alone
mastered walking
using cup
crawling
running
using pacifier
pulling up on things
feeding self
taking steps
sits in high chair for meals
Nap Schedule( if child will be napping on Fridays)
Usually sleeps from
to______________
Sleeping position____
Sleeps in crib Y/N
, play pen Y/N
or nap mat on floor Y/N______
Items needed for sleeping:_______________________________
Any other information helpful for naptime?
Eating Schedule
Child usually eats snacks at_________________
Child usually eats lunch at__________________
Child will not feed self
Child will sit in high chair
or chair at table________
Favorite foods_____ _________________________
Child can have snacks provided by PDO? (animal crackers, graham crackers) Yes
No
**Any food allergies? *****__________________________
Child's favorite activities:____________________________
(Examples: Coloring, Looking at books, stacking blocks, etc.)____________________________
Child has favorite item:
(Blanket, etc. that comforts them when tired or upset)
Does your family use any special words for items that the child understands that may help the
teacher communicate better?
Please list any other pertinent information that may help your child's teacher get to know them
and care for them in the best way.

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