Nanny Fraser

Home Daycare

Contents


*      Home

*      Resume

*      Photos

*      Parent, ECE and Caregiver Resources

*      Learn About Cleaning Chemicals

*      Potentially Hazardous Materials

*      Reader Submissions of Additional Resources

*      Childcare Classifieds

*      FAQ

Parent Handbook

*      Introduction

*      Philosophy and Mission

*      Behaviour Management

*      Health and Safety

*      Pick-up and Drop-off

*      Schedule and Program Plan

*      Meal Plan

*      Forms and Contracts

*      Parent Information

*      Child Information

*      Pick-up Authorization

*      Do Not Authorize for

Pick-up

*      Parent Agreement Contract

*      Download PDF Version

Additional Info

*      Webrings and Promotional Tools

 

C. Fraser © 2008, Fraser Service Group. All Rights Reserved.

 

 

 

Section 10 (a)

Child Information Form

If you have trouble printing this document under the current format, you can download the PDF version of the handbook here.

Child’s full name:

Childs nickname (if any):

 

 

Primary address:

Secondary address (if any):

 

 

Age:

Date of birth:

OHIP/Health Card #:

Epi-Pen required?

 

 

 

Yes or No

Medications (if any):

Known allergies (if any):

Dietary restrictions (if not related to allergies):

Physical health restrictions (such as reduced outdoor activity due to asthma):

Does your child have any special needs? Please provide details:

The following information will help to modify the program plan to ensure it best meets your child’s needs.

Favorite foods:

Food aversions:

Favorite toys, games and activities:

Unfavorable toys, games and activities:

Cultural activities, songs or stories that can be shared in the daycare:

 

Additional details, instructions or requests (if any):

 

 

 

 

The above information is accurate to the best of my knowledge.

 

 

________________________

 

_______________________

 

_____________

Name (please print)        

Signature    

Date