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Seeds of Knowledge CLC New Family Intake Form
We’re so excited that you’re considering joining our program. Please take a few minutes to fill out this form so we can get to know you and your child better.
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Email
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Your email
All about your child
Has your child been in any early learning program before? If so, please share more details.
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Your answer
How would you describe your child’s personality in a few sentences?
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Your answer
What are some things your child does well?
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Your answer
How does your child feel about starting our program?
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Your answer
Has your child been meeting their development milestones (ex: potty training, walking, language
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Your answer
What is most comforting to your child when they are upset?
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Your answer
What are your child’s favorite toys and games?
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Your answer
Does your child enjoy looking at books or reading at home? What is their favorite book?
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Your answer
All about your family
Tell us about your household (who lives with you, their relationships to your child, and any other details you’d like to share.)
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Your answer
Is there any information about your family’s culture, religion or language that is important for us to know?
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Your answer
What are your expectations of our program?
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Your answer
Do you have any questions about the facilities, program or curriculum?
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Your answer
What are your greatest hopes for your child’s early education experience?
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Your answer
Do you have any concerns?
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Your answer
Your child’s name and age
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Your answer
Parent name
Your answer
Telephone
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Your answer
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