Baby Intake Form
Gan Aviv strives to accommodate each child’s needs and understands that every baby has a different pattern of eating. In most cases, we believe that feeding “on cue” is the healthiest way to eat. In other words, we will feed your infant when s/he shows signs of being hungry, and we will stop feeding when s/he shows signs of being full.
The American Academy of Pediatrics recommends waiting until about 6 months of age before starting solid foods. We only bottle-feed infants less than 6 months with mother’s milk or formula (no water or juice unless requested by a physician). Infants over 4-6 months are spoon-fed age-appropriate solid foods and given water, in addition to breast milk/formula, when they are able to drink from a cup.
Parents are required to provide clean, labeled bottles daily. Labels should be water-resistant and include the infant’s name and the date and time of preparation.
Date Created *
MM
/
DD
/
YYYY
Child's First and Last Name *
Parent's Name *
Does your baby take a bottle? *
Required
Is the bottle warm? *
Required
Does your baby hold the bottle? *
Required
Can your baby feed his/herself? *
Required
What type of milk/formula is used? *
Amount of milk/formula given at a feeding: *
Do you provide any other liquid supplements? If so, what type? *
Does your child eat any of the following? Check off all that apply
If your child is receiving breast milk, what do you wish us to do if we run out of pumped milk?
Does your baby have any food allergies or sensitivities that you are aware of? If so, please specify: *
Does your baby have any feeding problems such as choking or frequent spit ups? If so, please explain: *
Any instructions/updates regarding adding new foods? *
Feeding Schedule:
Breakfast/lunch/dinner/AM and PM snacks: bottle or food with the amount
Please write out your child's feeding schedule here: *
Napping Habits: Please check off all that apply
Please write when your baby naps: *
Permission for your baby to sleep on his/her stomach when they roll over by him/herself? *
Required
Babies will go outside: it is the parents' responsibility to apply sunscreen before coming to Gan Aviv. Parents can send in sunscreen from home. Permission to reapply sunscreen if necessary? *
Required
Birthdays at Gan Aviv
When we celebrate birthdays in the baby room, parents may bring in a special birthday treat for the birthday child. They may also bring in for the children in the class. All food items brought into the school in addition to being peanut/nut free, must be purchased from a licensed operating food store, sealed, with a Kosher label affixed to the package. We cannot accept any home-made products into the school.
Permission for your baby to eat birthday treats when celebrated in the Ktantanim Class?
Are there any other updates/information that we should know about your child's eating/napping habits? Any additional information that you would like to share with the caregivers? *
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