Norris Elementary, Pre-School

Norris Preschool Child Information Form

Child’s name ________________________________         Date of Birth ____________________

 Age ___________                 Male _____     Female _____

 Parents’ Name(s)________________________________________________________________

Address ________________________________________________________________________(Please include town and zip code)

Home Phone ________________________         Work Phone ___________________________

E-mail address __________________________________________________________________

Please answer the following questions.  This information will not be used to decide whether or not your child will be selected to attend preschool.  It will help us to know your child better should he/she be enrolled in preschool.

Describe opportunities you child has had to interact with other children his/her own age(daycare, Sunday School, play groups, etc.):

How does your child react when you leave him/her in a new setting?

How much help does your child require with dressing, feeding, and toileting?

Please list some things your child can do independently at home/is expected to do independently at home.

How many words does your child combine in a phrase or sentence?  Give examples of phrases or sentences your child would use.

Describe how your child plays with other children (how well he/she shares toys, cooperates, etc.).

What are some of your child’s favorite activities?  How long does he/she typically spend with these activities at a time?

If you had a choice between morning and afternoon preschool, which would you prefer?

Are you able to provide or arrange transportation for your child to and from preschool?  Are you able to provide or arrange transportation for field trips during the school year?