ELC Family Information Form
2018-2019 School Year
Email address *
Please answer the following questions about your child.
Child's Name *
Your answer
Which program is your child enrolled in? *
Has your child attended preschool before? If so, how was their experience? *
Your answer
How does your child react when left in the care of a non family member? *
Your answer
How does your child respond when frustrated? *
Your answer
Does your child like to play with others or alone? *
What kind of activities does your child choose to do during the day? *
Your answer
Does your child have any fears or phobias? If so, please explain. *
Your answer
Please list any medical concerns or allergies: *
Your answer
Did your child participate in First Steps? *
How does your child adapt to changes in activity or location? *
Your answer
Do you have any helpful comforting techniques when your child is upset? *
Your answer
How would you describe your child's personality? *
Your answer
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