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Seeds of Knowledge CLC New Family Intake Form 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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Yes
No
How would you describe your child’s personality in a few sentences?*
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Your answer
How would you describe your child’s personality in a few sentences?*
Your answer
How does the parents/family feel about starting a 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?*
Your answer
Do you have any questions about the facilities, program or curriculum?*
Your answer
What are your greatest hopes for your child’s early education experience?*
Your answer
Your child’s name and age*
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Your answer
Parent name
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Your answer
Telephone*
Your answer
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