Children’s Creative Learning Center
Children’s Creative Learning Center
All About Me Form
Child’s Name:__________________________ Date of Birth:___________________
INFORMATION ABOUT THE CHILD
Nickname (if any):________________________________________________________
Favorite activities:________________________________________________________
Favorite toys:____________________________________________________________
Favorite book:___________________________________________________________
Special comfort items:_____________________________________________________
Sleeping habits:__________________________________________________________
Foods liked:_____________________________________________________________
Foods not liked:__________________________________________________________
Food restrictions/special diet:________________________________________________
Allergies (type of reaction):_________________________________________________
Special needs/concerns/activity restrictions:____________________________________
Discipline used at home:____________________________________________________
Potty training experience:___________________________________________________
Has your child ever been in child care before?___________________________________
If yes, what type? (center, family home daycare, relative, etc.)______________________
________________________________________________________________________
Fears:___________________________________________________________________
Any other information about your child that you feel would help us get to know or understand your child better?________________________________________________
INFORMATION ABOUT THE FAMILY
Father’s Name:________________________ Father’s Occupation:_________________
Mother’s Name________________________ Mother’s Occupation:________________
Marital status of parents/guardians:
Married______ Divorced______ Separated______ Single______
Any special custody arrangements? Yes_______ No_______
If yes, please explain:______________________________________________________
Names & ages of siblings:
_______________________________ ___________________________
_______________________________ ___________________________
Language spoken at home:__________________________________________________
Special holidays or customs your family observes?_______________________________
________________________________________________________________________
Any special skills that you would be willing to share with your child’s class?
Father:__________________________________________________________________
Mother:_________________________________________________________________
Any other information about your family that you feel would help us get to know or understand your family better?_______________________________________________
________________________________________________________________________
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