ࡱ> (*'7 n bjbjUU "7|7|nl,8888 D ,\\\\\\\\$ :\\\\\:\\\O\\\\\\\\\\\P ۽ , 8\e0C\C\,,All About Me All the information provided on this form is requested so I can get to know your child and help the adjustment period go a little smoother. It will all be kept confidential. Childs Name: ______________________________________________________________ Birthdate: _______________________________________________________________ Your Child: Please circle all the words that best describe your child: calm, shy, excitable, happy, sensitive, cheerful, loud, quiet, easily angered, stubborn, curious, active, destructive, gives in easily, temper tantrums, jealous, shares well, hyperactive, bright, slow learner, busy, contented, other: _______________________________________ How well does your child get along with other children? ______________________________ Childs Favorite Games, Activities, Etc.: __________________________________________ What Makes Your Child Mad Or Upset: __________________________________________ What Do You Find Is The Best Way Of Handling Your Child: _________________________ Are there any "family" rules I should be aware of? _________________________________ Any Special concerns or comments? ___________________________________________ Eating Habits: Favorite Foods: _________________________________________________________ Least Favorite Foods: _____________________________________________________ Day Care Experiences: How many day cares has your child been in? ______________________________________ Reason for leaving last day care? _______________________________________________ Name and Telephone number of last day care provider or center? _______________________ Any special concerns? _______________________________________________________ Medical Information: List child's frequent illnesses: ___________________________________________________ Any Known Allergies? (Asthma, Hay Fever, Insect Bites, Medicines, Food, Etc.) ____________ What communicable diseases has your child had? (chicken pox, measles, mumps)? ___________ Are Any Medications Given Regularly? ___________________________________________ Are there any special medical concerns I should know about? ____________________________.   S`YZPQD Y T U  h i   f m n 5CJ\aJCJaJ6] 6>*]0J>*CJ$aJ$. SUaD Z n $a$ n  1h/ =!"#$% i8@8 NormalCJ_HaJmH sH tH <A@< Default Paragraph FontJ^`J Normal (Web)dd[$\$OJPJQJ^J"W`" Strong5\n SUaDZp000000000000n n n Gary & Kim MalicoteDC:\My Documents\DayCare Info\07 Child Information\All About ME 2.doc@ Dup n`@UnknownG:Times New Roman5Symbol3& :ArialI& ??Arial Unicode MS"1h)f*f8!02 All About MeGary & Kim MalicoteGary & Kim MalicoteZOh+'0xl   ( 4 @LT\d All About Meoll aryaryNormalKGary & Kim Malicote1Microsoft Word 9.0@F#@( @< 8Z՜.+,0 hp|  b All About Me Title ),Root Entry Flq+1TableWordDocument"SummaryInformation(DocumentSummaryInformation8 pCompObjjObjectPool} }    FMicrosoft Word Document MSWordDocWord.Document.89qZOh+'0xl   ( 4 @LT\d All About Meoll aryaryNormalKGary & Kim Malicote1Microsoft Word 9.0@F#@( @< 8Z՜.+,D՜.+,< hp|  b All About Me Title4 $,