Preschool Peer Information Form
2019
Student First Name *
Your answer
Student Last Name *
Your answer
Sex *
Is your child fully potty trained? *
Date of Birth *
MM
/
DD
/
YYYY
Is the 2019-20 school year the year BEFORE your child will enter Kindergarten?
Nickname
Your answer
Parent/Guardian First Name *
Your answer
Parent/Guardian Last Name *
Your answer
Parent/Guardian Address *
Your answer
Parent/Guardian Phone *
Your answer
Preferred Email Address *
Your answer
Prior Group Experiences (List play groups, story hour, preschool programs, etc.): *
Your answer
Strengths/Weaknesses (Describe your child's strong points and areas of weaker skills): *
Your answer
Likes/Dislikes (List your child's favorite and least preferred activities): *
Your answer
Additional Information (pertinent medical information, concerns, etc.): *
Your answer
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