| Information Sheet |
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| Why
are you sending your child to preschool? |
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| What
do you hope he or she accomplishes at preschool? |
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| Your
child's main interests? |
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| Outdoor
activities? |
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| Indoor
activities? |
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| Any
strong fear? What? |
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| How
does your child indicate a desire to use the restroom? |
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| My
child has the following special conditions: (Check if applicable) |
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Convulsions |
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Allergies: Foods,
environmental, etc |
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Heart Problems |
(Please specifiy) |
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Bleeder |
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Other |
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Asthma |
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Fainting Spells |
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| Any
special instructions concerning your child? |
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Age: |
Name: |
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Age: |
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| Brothers and Sisters: |
1). |
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2). |
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3). |
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4). |
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5). |
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