Hearts & Minds Early Childhood Program
We understand leaving your little one can be tough, both parents and kids alike can be anxious the first few times of drop off. We try and minimize this by getting to know your child and routines you currently use at home. We appreciate you taking time to answer the following questions.
Email address *
Tell us about your child
Child Name: *
Your answer
Parent Names: *
Your answer
Siblings:
Your answer
Allergies: *
Your answer
Any concerns we should know about: *
Your answer
Tell us about his/her routine: *
Your answer
Does your child take a bottle? *
Yes
No
Formula
Breastmilk
If your child takes a bottle, how many ounces should be made?
Your answer
Does your child use a sippy cup?
Can your child eat snacks that we provide? We typically serve snacks such as animal crackers, graham crackers, veggie straws, puffs etc. *
Will your child nap while here? *
If your child naps, please briefly describe their routine before nap time: ex. rocking, reading books, laying down with a pacifier or special blanket, swaddling blanket etc.
Your answer
What works best to console your child when they become upset? *
Your answer
Who will do majority of dropping off and picking up? *
Your answer
Anything else that you would like us to know?
Your answer
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