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Kindergarten Information Sheet

Kindergarten Information Sheet

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Publicado porallison0309

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Published by: allison0309 on Aug 16, 2011
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05/12/2014

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Kindergarten Information Sheet

Child’s Name: ____________________ Prefers to be called: ____________________

Child’s Address: ________________________________ Birthdate: _________________

Important medical information/allergies: _____________________________________
_____________________________________________________________________________


Parent/Guardian #1: ________________________________________________________
(relationship and last name, if different from child’s)
Home phone: _______________________________________________________________
Work phone: ________________________ Place of employment: _________________
Cell phone: _________________________________________________________________
Email address: ______________________________________________________________
Please circle the best way to reach you to communicate with you about your child

Parent/Guardian #2: ________________________________________________________
(relationship and last name, if different from child’s)
Home phone: _______________________________________________________________
Work phone: ________________________ Place of employment: _________________
Cell phone: _________________________________________________________________
Email address: ______________________________________________________________
Please circle the best way to reach you to communicate with you about your child

Child lives with: (circle all that apply) mother father grandmother grandfather
aunt uncle other: ______________________ other: _________________________


Over 

Child’s siblings and grade levels/ages:
Name Age Grade/School

______________________ _______ _________________
______________________ _______ _________________
______________________ _______ _________________
______________________ _______ _________________

Tell me about your child

My child’s interests and/or hobbies include ___________________________________
_____________________________________________________________________
Something my child is very successful at ____________________________________
_____________________________________________________________________
Something my child has trouble with _______________________________________
_____________________________________________________________________
My child’s special qualities include _________________________________________
_____________________________________________________________________

My child approaches learning (check all that apply)

___ with excitement ___ with curiosity ___ with reluctance
___ with confidence ___ with anxiety ___ without interest

Other comments you’d like to share about your child and his/her learning:
_____________________________________________________________________
_____________________________________________________________________

Goals for my child in kindergarten: _________________________________________
_____________________________________________________________________

Thank you for taking the time to fill this out. It will help me get a jump start on
getting to know your child.

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