Getting to Know You at Enrollment Time

GETTING TO KNOW YOU AT ENROLLMENT TIME

Choose Location *

Parent's Name *

Parent's Email *

Parent's Phone *

Child's Name *

Start Date *

Date of Birth *

Family Composition Questions:

Tell us about your household (who lives there, names and relationship to child).

Are there any custody issues that we should discuss? Is there someone whom with your child may not leave Schoolhouse Learning Center with?

Does your child have any siblings? If so, what are their names and ages?

Child Information:

Has your child previously attended an Early Learning Program?

Does your child have any fears?

Any special needs? (medical, developmental, social or mental health)

Do any of these special needs require special care by our teachers?

Are there any special problems or fears we should know about?

Does your child have any allergies?

How are your child’s allergies treated?

Do you have any special medical or dietary information for management in an emergency situation? For example, medicine to keep on hand, people to call, etc.

FREE REGISTRATION at initial enrollment.