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Lil' Royals Preschool Enrollment 2023-2024
This is the initial enrollment form. You will be asked to fill out more information upon school registration this summer. Preschool Spots will be given to in district 4 year olds first.
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Child's full name *
Child's Birthdate *
Child's address *
Preferred email address. *
Father or Guardian full name  *
Father or Guardian Phone Number *
Father or Guardian place of Employment *
Mother or Guardian full name  *
Mother or Guardian Phone Number *
Mother or Guardian place of Employment *
Please list all allergies with reaction description. (ex. hives: trouble breathing) *
Preschool Options (half day 8:30-11:20) (full day 8:30-3:30) *
Are you interested in receiving information about an income based tuition scholarship? *
Physician's name and phone number. *
Medication taken at home. *
Medication needed at school. *
Medical History:  Check all that apply...
Medical History:  Please explain any medical issues your child may have. *
Is your child still learning to use the toilet? *
List any concerns you might have about your child's general growth/health or development. *
Please tell us about your child's previous childcare/educational experience. *
Language Development *
Yes
Sometimes
No
Understands spoken language well
Is able to follow directions
Speaks clearly: is easily understood by a new person
Expresses needs adequately
Able to express ideas clearly
Asks questions
Remembers past experiences
Looks at books
Looks at pictures you point to in books
Physical Development *
Yes
Sometimes
No
Plays with clay or playdough
Cuts with scissors
Puts 6 piece puzzle together regularly
Climbs on playground equipment
Rides a tricycle/bike
Plays with blocks
Catches a ball
Enjoys paper/pencil/crayon activities
Social -Emotional Development *
Yes
Sometimes
No
Looks you in the eye for more than a few seconds
Separates from parents easily
Takes turns with other children
Plays cooperatively with other children
Stays with an activity for at least 10 minutes (not electronics)
Handles frustration well
Falls asleep at night at regular bed-time
Undresses self without help
Dresses self without help
Takes care of personal needs (toileting, wash & dry hands)
Feeds self regularly using a spoon an fork
Eats dinner regularly at the same table with family
What is your child's favorite book? *
What is your child's favorite indoor activity? *
What is your child's favorite outdoor activity? *
How many hours a day does your child spend watching tv, on a tablet/phone, or play video games? *
How often does your child play with other children? What age child does your child play with most often? *
Has anyone had any reason for concerns about your child's behavior? Please explain *
What activities do you and your child like to do together? *
What things can your child do well? *
What things are difficult for your child? *
Does your child have any fears? *
How does your child express anger? *
Is there anything else you would like the teacher to know about your child? *
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