TELL US ABOUT YOUR CHILD

Use this sheet to tell us a few things about your child.

All information on this sheet will remain confidential.


____________________ Lives with:

CHILD’S NAME (check all that apply)

p Both Parents

p Father

p Mother

p Stepfather

p Stepmother

p Grandparents

p Uncle

p Aunt

p Brother

p Sister

p Foster Parents

p Other________________

Marital Status of Parents

p Married

p Divorced

p Separated

If there is shared custody of your child,

please give the non-custodial parent’s information if they wish to receive information regarding their child and Tiger Preschool activities.

Name___________________________

Address_________________________

__________________________

Telephone_______________________

WHAT ARE YOUR EXPECTATIONS FOR THE UPCOMING SCHOOL YEAR?

Foods, toys, games, activities, books your child:

JLIKES:

LDISLIKES

List anything we should know about your child’s personal history.

Previous Educational Experiences:

p First Steps

p Parents As Teachers

p Head Start

p Early Childhood Special Education

p Other Preschool_________________