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Child's Information
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More About Your Child
Is your child extremely active?
Yes
No
Does your child speak another language (apart from English)?
Yes
No
What can make your child cry?
If your child is upset, what can we do or say to make him/her happy?
What is your Child's best food?
Does your child have any allergies?
Do we need to use any special cream or powder while changing diaper?
Yes
No
Are you potty training your child at home?
Yes
No
Does your child talk?
Yes
No
How will he/she say
How does your child behave when he/she wants to sleep?
How often does your child sleep in a day and for how long
What else do we need to know about your child?
How old is your Child?
6 Weeks - 12 Months
13 Months - 18 Months
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ME, MYSELF AND I
6 Weeks - 12 Months
Childs Name
Your child's varieties of meals
Nickname
Has your child been in childcare before?
Yes
No
Why was Care Terminated?
First Meal Timing
Second Meal Timing
Third Meal Timing
Four Meal Timing
Meal
Meal
Meal
Meal
How often does your child nap during the day and for how long?
2nd Nap Timing
Is it easy for your child to fall asleep?
Yes
No
What helps your child go to bed?
1st Nap Timing
3rd Nap Timing
Is your child startled while sleeping?
Yes
No
What is your Child's disposition upon waking up?
Happy
Grouchy
Clingy
Slow
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Address
State
Date of Birth
Age Range
- Select Age Range -
Cocoon I - 6weeks to 12months
Cocoon II - 13months to 17monthsks - 48 weeks
Bud Room - 18months to 24months
Bloom Room - 2years to 3years
Sprout Room - 3years to 4years
Starlight Room - 4years to 5years
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