Parental Consent Form - Preschool At Annunciation Greek Orthodox Church

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Parental Consent Form
PAGE 1  
Child Profile
Child’s Name: ____________________________________________________________________________
Date of Birth: ______________________________
Date of Name Day: _____________________________
This Profile will stay with your child’s teacher in order to keep in touch with the growth and development of your
child. Please provide input on any changes taking place outside of school that may affect your child while in
our care. All information submitted will remain confidential. Thank you for your cooperation.
1. Has your child had previous preschool experience?
Yes ________ No ________
If yes, Where: ____________________________________
When: ____________________________________
2. What would you like most for your child to experience at the Preschool at Annunciation Greek
Orthodox Church?
__________________________________________________________________________________
3. What does your child mostly enjoy doing?
__________________________________________________________________________________
4. What are your child’s indoor and outdoor play interests?
__________________________________________________________________________________
5. Are there any habits your child needs help in overcoming?
__________________________________________________________________________________
6. What contact does your child have with other playmates?
__________________________________________________________________________________
7. Do you consider your child shy or outgoing?
__________________________________________________________________________________
8. List the names and ages of other children in your family.
__________________________________________________________________________________
__________________________________________________________________________________
9. List any additional information regarding your child that you consider important for the staff at the
Preschool at Annunciation Greek Orthodox Church to know.
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

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