16550 Huebner Road San Antonio TX 78248 PRESCHOOL PERSONAL RECORD Teacher’s File Date: Name: Child’s Name child likes to be called: Birthdate: Sibling(s) Name: Age: Age: PERSONAL HISTORY: Run? Yes No Does child walk well? Yes No Does your child fall easily? Is your child a good climber? In phrases? Yes_ _No Talking? Yes No In sentences? Yes No Does your child speak any other language? If yes, which HEALTH HISTORY: Physical Disabilities? Yes No Serious Illnesses? Yes No Known Allergies? Yes No Other Conditions or Limitations
16550 Huebner Road San Antonio TX 78248 PRESCHOOL PERSONAL RECORD Teacher’s File Date: Child’s Name: Name child likes to be called: Birthdate: Sibling(s) Name: Age: Age: PERSONAL HISTORY: Does child walk well? Yes No Run? Yes No Is your child a good climber? Does your child fall easily? Talking? Yes No In phrases? Yes_ _No In sentences? Yes No Does your child speak any other language? If yes, which HEALTH HISTORY: Physical Disabilities? Yes No Serious Illnesses? Yes No Known Allergies? Yes No Other Conditions or Limitations
18-19-Heintz-Preschool-Enrollment-Forms.docx