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DAYCARE INFORMATION SHEET

Please print all information in upper and lower case letters.

Name of Parent DBM Employee_________________________________________________________________________________


Nickname: _____________________________ Contact no.: ___________________________
B/S/O: _______________________________________________________________
Email Address: ________________________________________________________
How does your child call you?  Mommy  Mama  Nanay  Daddy  Papa  Tatay
Others, pls. specify ___________________________

Name/s of child/ren: Nickname Date of birth and age

(if applicable)
(if applicable)

Please check  at least one of the following special skills/talents that your child/ren can do:
 arts and crafts  storytelling  singing  dancing  cooking
 playing musical instrument/s (Pls. specify)
 sports (Pls. specify) ________________________
_______________________________

Your child’s other interests:


_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________

Would you like to have your child join the online session?
 Yes  No

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