Help us to become better acquainted with your child so that we can make this year a wonderful experience. This information will help us to meet your child’s needs and plan a program that will be fun and filled with learning that is appropriate to his or her development. This information will be kept in a confidential file and discarded at the end of the school year.

If you are uncomfortable with answering any of the items, please feel free to skip them.

Thank you for your cooperation with this important process.

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* 1. Child's Name:

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* 2. Child's Birthday:

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* 3. Child's Nickname (what you want him/her called at school):

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* 4. What grade level is your child in this year?

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* 5. Please list all of the adults living in your household and their relationship to your child:

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* 6. Please list all children living in your house and their age and gender:

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