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Bluebirds Class Child Bio
Directions: Parents please complete the following questionnaire to better prepare us to care for your child's individual needs. We update these forms annually to keep current on your child's growth and development. Please respond to every question--respond with "NA" if you have no response.
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Child's Full Name
Your answer
Parents Full Names and contact information (phone and email)
Your answer
In case you are unable to be reached, who should we call? Please provide the Name, Phone Number and Relationship to child.
Your answer
Does your child have any special dietary restrictions? Please list any allergies (milk, eggs, peanuts, etc. or dietary preferences (vegetarian, no sugar, etc.).
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Your answer
Please list any allergies or health concerns for your child.
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Your answer
How do you respond to misbehavior/correct your child at home?
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Your answer
Are you experiencing any challenging behaviors at home? Please describe.
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Your answer
What do you find motivates your child to do well and make good behavior choices?
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Your answer
Are there any specific interests/strengths your child has at this time?
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Your answer
Have there been any recent changes in the household? Such as new siblings, move, death of a loved one, etc.?
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Your answer
Answer the following about your child's level of potty training readiness:
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Your child announces when a wet or soiled diaper has occurred and/or requests to have it changed.
Your child can express and understand one-word statements, including such words as “wet”, “dry”, “potty”, or “go”.
Your child shows an interest in the toilet or potty seat by asking to use it.
Your child has a tendency to wet or soil their diapers about the same time period each day, and often remains dry for longer periods (2 hours or more) during some parts of the day.
Your child shows facial expressions when wetting or spoiling their diaper and may even hide in a corner or behind a piece of furniture or squat when soiling a diaper.
Your child can pull their pants down independently
Required
How can we help your little one rest easy in our care? Please describe your child's typical nap time routines so we can give them a sense of familiarity and security during this important time of the day!
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Your answer
Is there anything else about your child you would like us to know that would help us serve them better?
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Your answer
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