Child Questionnaire

2 years and older

Welcome to The Kids Connection! We are excited to have your child here and want to make his/her experience a positive one. To help our teachers get to know your child better, please fill us in on a few “trade secrets”! We want your child to be happy and comfortable here, and this information will not only make the first few days easier but will help us be consistent with what they experience at home.

Child’s Name:(Required)

Date of Birth:(Required)

Parent’s Name(s):(Required)

Phone #:(Required)

Email(Required)

Is this your child’s first experience in a childcare center? If not, what was his/her experience like?(Required)

What are your child’s hobbies/interests?(Required)

Does your child have any challenges or special needs (physical, academic, etc.)?(Required)

How does your child relate to other children?(Required)

Is there anything else about your child that you would like us to be aware of?(Required)

If your child is having an especially rough day, can you be contacted for a phone conversation?(Required)

Does your child have any allergies we need to be aware of?(Required)

Would you be interested in exchanging work in a specific area of expertise for childcare credit (e.g., plumbing, carpentry, landscaping, etc.)? If so, please specify.(Required)

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Child Questionnaire

2 years and older

Location

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