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Parent Packet 5

Parent Packet 5

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Published by kindercindy

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Categories:Types, School Work
Published by: kindercindy on Jul 18, 2011
Copyright:Attribution Non-commercial

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07/18/2011

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 Childs full name _______________________________________________________________________Name child goes by ____________________________________________________________________Childs birthday _______________________________________________________________________Parents/Guardians names ______________________________________________________________Address _____________________________________________________________________________Home Phone _________________________________________________________________________Father Work Phone _____________________ Father Cell Phone ______________________________Mother Work Phone ____________________ Mother Cell Phone ______________________________Emergency Contact if parents cant be reached ______________________________________________Emergency Contact phone ______________________________________________________________Health Conditions/Allergies (include food) _____________________________________________________________________________________ _____________________________________________________________________________________Does your child take any medication regularly? ______________________________________________My child can (circle all that apply):tie shoes use scissors write name dress self use restroom alone follow simple directionsChilds usual bedtime ___________________________________________________________________Does your child take a nap on a regular basis? _______________________________________________

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