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New Family Intake -Mrs. Summitts Child Development
We are so excited to have you join our program! Please take a few minutes to fill out this form so we can get to know and your child better. 
Email *
Child Date of Birth  *
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Child Age *
Complete Address *
Parent/Guardian First & Last Name   *
Home or Cell Phone *
Child School Name & Grade (School Age Children Only)
Child Gender *
Has your child been in any early learning programs before? If so, please share more details.  *
How would you describe your child's personality in few sentences?  *
What are some things your child does well?  *
How does your child learn about the world around them?  *
How does your child feel about starting our program?  *
What is most comforting to your child when they are upset? *
Does your child enjoy looking at books or reading at home? What is their favorite book?  *
Is there any information about your family's culture, religion, or language that is important for us to know?  *
What are your greatest hopes for your child's early education experience? What are your expectations of our program?  *
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