Child Information

1. Physical Development:

Is there any information that you feel would be useful to us with regard to your child’s physical development (age of walking, activity level, hand preference, ability to use scissors, etc)?


Are there any health conditions of which we should be aware (past serious illnesses, allergies, etc.)?


Is there any information that would be useful with regard to your child’s home routines (eating and sleeping habits, etc.)?


2. Language Development:

Is there any information that might be useful with regard to your child’s speech (age at which he/she began to talk, any speech difficulties, language spoken at home, etc.)?


What interest does your child show in early literacy activities (interested in books, alphabet recognition, uses implements to draw or write, retells stories, enjoys being read to)?


3. Social Development:

Does your child have other children at or near home with which to play? Please indicate their ages.


Has your child attended any other programs where he/she was with other children of similar ages? (Please describe the type of programs.)


How did your child appear to relate to the other children in these programs?



4. Emotional Development:
Is there any information which might be useful with regard to such things as fears your child might have: the ways that you deal with your child’s feelings of anger, fear, jealousy; your child’s moods?


5. Interests and Activities:
What kinds of activities does your child prefer when he/she is at home?


What particular interests does your child have?


What are his/her favorite places?


6. Other Information:

Are there any other persons living in your home apart from your immediate family?

(Relationship)

Are there any special circumstances in the family that might affect your child’s adjustment?



Who will be usually picking up your child when the program ends? Which people are allowed to pick up your child at any time? Are there any people that should not be allowed to pick up your child?


What do you hope your child will gain from being involved in our Kindergarten Program?