About Your Child - ASUU Student Child Care Program - ASUU Childcare

Contact Information

Childs Name

Parents First Name

Parents Last Name

Phone

Child's Information

What are some of your child's favorite activities or interests?

Favorite indoor activities

Favorite outdoor activities

Favorite books

Favorite songs

Favorite nutritious snack

Favorite drink

Who are the important people in your child’s life outside of his/her immediate family (special friends, caregivers)?

Are there any special instructions for your child’s rest time?

What special dislikes or fears does your child have?

Does your child need any special self-help assistance (in the bathroom, zipping coat)?

If needed, are you willing to volunteer or share some of your talents or hobbies in your child’s classroom?

YesNo

If yes, what kinds of things are you willing to share?

Is there anything you would like to tell us about your child’s home language, cultural or religious beliefs or family structure?

Is there anything else you think would be helpful or important to know about your child?

What goals do you have for your child this semester?

What language do you speak primarily with your child?

Ukids - Presidents Circle