PDA

View Full Version : Child info sheet



newadventure
19-10-2009, 09:31 AM
I have started putting together an info sheet to ask parents to fill in for me when there child starts my setting.

Can anyone advise of anything I may have missed off.

Sorry its so long not sure how to attach the document seperately

Full name of Child …………………………………………†¦â€¦â€¦â€¦â€¦â€¦â€¦.

Date of Birth……………………………………… ………………….

Address……………………………………⠀¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦.

Town………………………………………⠀¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦.

Postcode…………………………………… …………………..

Doctors/ Surgery name…………………………………….

Address …………………………………………†¦â€¦â€¦â€¦

Telephone number……………………………………†¦â€¦â€¦.

Parents Details

Mothers/ Guardians Name………………………………………⠀¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦.

Address if different from above……………………………………… …………

Town………………………………………⠀¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦.

Postcode…………………………………… ……………………….

Home contact number……………………………………Mo bile……………………….

Work………………………………………⠀¦.

Fathers/ Guardians Name………………………………………⠀¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦..

Address if different from above……………………………………… …………………

Town………………………………………⠀¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦

Postcode…………………………………… …………

Home contact Number……………………………Mobile…†¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦

Work……………………………………….



Please could you supply me with 4 emergency contact numbers in priority Order

1.

Name………………………………………⠀¦â€¦â€¦â€¦â€¦..

Relationship to child…………………………………….

Contact details……………………………………⠀¦â€¦.

2.
Name …………………………………………†¦â€¦â€¦â€¦..

Relationship to child……………………………………… .

Contact details……………………………………⠀¦â€¦â€¦â€¦

3.
Name …………………………………………†¦â€¦â€¦â€¦..

Relationship to child……………………………………… .

Contact details……………………………………⠀¦â€¦â€¦â€¦

4.
Name …………………………………………†¦â€¦â€¦â€¦..

Relationship to child……………………………………… .

Contact details……………………………………⠀¦â€¦â€¦â€¦

Please could you provide below any details of any food allergy’s your child suffers from or any family history of allergy’s I may need to be aware of.

…………………………………………†¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â €¦â€¦..

…………………………………………†¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â €¦â€¦â€¦

Please could you provide details of your child’s favourite foods and also foods they dislike

…………………………………………†¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦. .

…………………………………………†¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦. .

…………………………………………†¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â €¦

…………………………………………†¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â €¦â€¦

Please could you provide details of any medical or health requirements

…………………………………………†¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦

…………………………………………†¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦

…………………………………………†¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦..

If in the event that anyone else has parental responsibility of your child please provide details is they are able to pick you child up from myself

…………………………………………†¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦..

…………………………………………†¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦

…………………………………………†¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦. .

If your child have any favourite toys or routines they favour please supply details below

…………………………………………†¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â €¦.

…………………………………………†¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â €¦.

…………………………………………†¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â €¦â€¦.

Chatterbox Childcare
19-10-2009, 09:32 AM
I also have dentist details and any allergies and anything else I should know about your child

newadventure
19-10-2009, 10:40 AM
Thank you Debbie had totally forgot about the dentist. I have ammended my food allergy section to any allergy and added a section about any additional info

Thnks again for the great advise

Denise D
19-10-2009, 02:16 PM
Hi,

I like your idea of four contact people in priority order! That's a great idea.

I usually include something asking about languages spoken at home and cultural/ religious background.

Looks good!

Denise :)

sarah707
19-10-2009, 05:14 PM
I put an explanation with emergency contacts that they should be in the order of people who can get to hospital / pick up from me quickest if I need to call them.

There is no point in granny in Devon being contact 1 if you live in the north!

Hth :D