Kids Under Construction Preschool Information Sheet

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Kids Under Construction Preschool Information sheet
Child’s name __________________________________ Gender _____
Nick name to be used at school ___________________
Date of birth ______________________________
Mother
Father
Name
__________________________
____________________
Employer
________________________
____________________
Phone:
(H) _______________________
____________________
(W) ______________________
____________________
(Cell) ______________________
____________________
Does child live with both parents? _________________________
Mailing address ________________________________________
City & zip _______________________________________
Is the child in the care of someone other than the parents during the
day? ____
Caregiver’s name __________________ Phone _______________
Does the child speak a language other than English at home? _________
If yes, what language? _____________________________

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