Author: Kathryn Aitcheson

All About Me—Terrific Tigers
Name of Child:______________________________________________________________________________
Date of Birth:____________________________________Present Age:___________________Gender:________
Mother’s Name:_____________________________________________________________________________
Fathers Name:______________________________________________________________________________
School attending for Kindergarten: ______________________________________________________________
What other Preschools/Child Care programs has your child attended: ___________________________________
List other children in the home:
First Name Age Grade in School
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
The following questions are designed to help us better understand your child in order to meet his/her needs:
What is your child’s favorite toy?_______________________________________________________________
What is your favorite bible story?_______________________________________________________________
What is your favorite song?___________________________________________________________________
What is your child’s favorite pet?_______________________________________________________________
What’s your favorite sport (for JJJ):_____________________________________________________________
Who is your child’s favorite person?_____________________________________________________________
What is your child’s favorite book?______________________________________________________________
Does your child have any particular habit or mannerism, such as thumb sucking, nail biting? Please describe:
Does your child have any particular fears such as dogs, sirens, thunder, etc. Please describe:
Does your child have any particular words or expressions that may not be understood by an outsider? Or speak a second language or uses sign language?
Has your child had any previous child care experience? If yes, please describe:
What is your accustomed mode of reassuring and rewarding your child?
Is your child talkative, quiet or in between?
Are there additional circumstances regarding your child’s physical or emotional status that you want us to be aware of?
Is your child allergic to certain foods? If so, please list and describe the reaction.
Does your child have other allergies? Please list.
If your child toilet trained for ________Urine _______Bowels? How does she/he tell you they have to use the bathroom?
How frequently do accidents occur?_____________________________________________________________________
OPTIONAL: Is there anything else in your child’s development that you think we should know? Any special concerns or needs? I
ie. occupational therapy or physical therapy :
NOTE: All students in the Busy Bears through the Pre-K classes must be potty trained by
the first day of Preschool, September 8, 2015.

I’m a Terrific Tiger!