Family Information | Northbrookpreschool

2022/2023 Family Information

This form should be completed for each child & turned in Parent Night. You may choose to skip questions that you feel are too personal. This information is our way of getting to know about your child and to better plan for his/her needs while at Northbrook Preschool.

Child's First Name

Child's Last Name

Nickname

Mom's First Name

Dad's First Name

Are there siblings at home?

Primary Language Spoken at Home

Do you have any pets at home?

Who is your child's favorite playmate?

Describe any special comfort item your child may have.

What does your child say when he/she has to use the restroom?

Term for urination?

Term for bowel movement?

What time does your child go to bed?

Wake up?

Nap?

What is your child's favorite television program?

How much screen time does your child have a day?

What are your child's favorite activities?

Describe any jobs or chores that he/she does or helps to do?

Describe any particular fears your child may have.

What hobbies, talents, skills, profession, or interests do you have that you might be willing to share with your child's class or with the school?

Is there additional information you would like share with us allowing a better understanding and and ability to meet your child's needs? (i.e., child was adopted, expecting new baby, parents are separated, grandparent(s) live with family, nanny keeps children during day, special behavioral considerations, etc.)?

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