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Hill and Dale Child Information Sheet

To better serve your child in their new room, please answer the following questions and turn this in to their teacher or the office. Answering any question is optional.

Child's name Nickname Birthday Age Parents' names Who does the child live with? ex: siblings (with ages), grandparents

List the following:

Fears Likes Dislikes How does your child react to frustrating situations? Does your child use a security blanket or other object when they sleep?
If so, what item?
Is your child potty trained & if so, at what age?
What does your child say when they need to urinate?
What does your child say when they need to have a bowel movement?
Is there anything else you would like to share that would be helpful with their care? What are your expectations for your child at Hill and Dale?

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