Child’s First and Last Name
If no, where did he/she attend?
Mother’s Cell Phone
Mother’s Work Address
Mother’s Work Phone
Father’s Cell Phone
Father’s Work Address
Father’s Work Phone
If other, please specify
Feel free to add any information that would help us to better understand your child (fears, nervous habits, toileting issues, adoption, surgery hospitalization, etc.)
In order for us to best educate your child, it is important that we learn a little more about him or her
Which of the following activities would you say your child gets most excited about? Check all that apply.
Drawing with crayons Painting Listening to music Dancing Singing Sports Make-believe Building with Blocks Working with Tools Other
Does your child have any special skills or giftedness in any other area?
Are there any areas that present major challenges for your child?
Has your child been diagnosed with any disabilities?
Click on any of the links to download the forms
General Information Form
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