CHILD’S SCHEDULE AND INTERESTS The following information will assist the provider to understand and care for your child. Please describe your eating habits, i.e. food likes and dislikes, etc. NOTE: Complete INFANT FEEDING PLAN (next page) for child’s children who are under 1 year of age. Describe the play activities that your child likes, both indoors and out-of-doors. Describe your naptime habits. child’s Describe your toilet and hygiene habits. child’s Please add any other special information that is important to your care here: child’s Does your child have any known allergies? Yes No If yes, please explain: Does your child have any known medical problems? Yes No If yes, please explain: Parent/Guardian Name Signature Date:
CHILD’S SCHEDULE AND INTERESTS The following information will assist the provider to understand and care for your child. Please describe your child’s eating habits, i.e. food likes and dislikes, etc. NOTE: Complete INFANT FEEDING PLAN (next page) for children who are under 1 year of age. Describe the play activities that your child likes, both indoors and out-of-doors. Describe your child’s naptime habits. Describe your child’s toilet and hygiene habits. Please add any other special information that is important to your child’s care here: Does your child have any known allergies? Yes No If yes, please explain: Does your child have any known medical problems? Yes No If yes, please explain: Parent/Guardian Name Signature Date:
Enrollmentpackage.docx