Student Information Sheet - Ivy A Boutique Nursery And Pre School

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Staff Use Only: Class
_____________________
Student Information Sheet
Please complete this sheet. It helps us prepare for and welcome your child.
Child’s Name to be used at school:
What, if any, other preschools/daycares has your child attended
(not classes)?
None
________________________________________ __________________
________________
Facility Name
Location
Dates Attended
Allergies/health concerns (if any):
Any significant changes in your child’s life recently (i.e. birth of a sibling, death of a
relative, new caregiver)?
Tell me about your child’s strengths/special abilities:
Tell me about your child’s weaknesses/fears:
What is your child’s favorite subject/activity?
Do you/ your child have any concerns about this year?
Tell us anything else you think we should know:
What is(are) your goal(s) for early education?
Is (or was) your child under care of any specialist? Yes
or No
(If yes, please explain.)
What is the best way to contact you?
Phone Call
Email
Text

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