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.
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Does your child have any special dietary restrictions? Please list any allergies (milk, eggs, peanuts, etc. or dietary preferences (vegetarian, no sugar, etc.).
Your answer
If your child does have allergies, is there a medication that we need to have at the center to administer? If yes, please indicate what it is.
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Please check the box for where we may use your child's photos:
Does your child participate in any kind of therapy (speech, physical, behavioral, etc.)?
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What style of discipline do you use at home to guide your your child to good behavior?
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What kind of behavior warrants discipline at home?
Your answer
Are you experiencing any challenging behaviors at home that we could support your child's growth with at school?
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What do you find motivates your child to do well and make good behavior choices?
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Are there any specific interests/strengths your child has at this time?
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How does your child like to be rewarded for successes and good behavior?
Your answer
Have there been any recent changes in the household? Such as new siblings, move, death of a loved one, etc.?
Your answer
Is there anything else about your child you would like us to know that would help us serve them better?