Free Preschool Enrollment Intake Form in PDF

Free Preschool Enrollment Intake Form in PDF

The Preschool Enrollment Intake Form serves as an essential tool for gathering initial information about a prospective preschooler, ranging from basic identification details like the child's name, date of birth, and gender, to more specific needs concerning diet, sleep patterns, toileting habits, developmental milestones, and social and emotional well-being. By intricately detailing the child's routines, preferences, and requirements, this form aids educators in creating a tailored learning environment that best suits each child's individual needs. To ensure a smooth transition for your child into preschool, we encourage you to complete and submit the Preschool Enrollment Intake Form by clicking the button below.

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The Preschool Enrollment Intake Form is a comprehensive document designed to gather critical information about a child prior to their admission into a preschool program. Covering a wide array of topics, this form delves into various aspects of the child’s life, including basic identification such as the child's name, date of birth, and gender. It extends to more detailed inquiries, notably dietary preferences or restrictions, ensuring any food allergies are clearly identified and managed, with provisions for visual alerts to staff about such allergies. Sleep habits, comfort items, and bedtime routines are explored to help facilitate a smooth transition to napping in a new environment. Additionally, the document inquires about toileting practices, including the use of diapers or potty training status, which is crucial for care providers to support the child's needs effectively. Developmental milestones and concerns are addressed, ensuring that any special attention or intervention needed is identified early. Language capabilities, both primary and secondary, are noted to tailor communication methods effectively. The form also seeks to understand the child's social and emotional comfort levels, previous childcare experiences, routines at home, and how they engage in play, which are essential for integrating the child into the preschool setting comfortably and enjoyably. Significantly, it prompts parents to describe the child's temperament, hobbies, and any fears, providing a holistic view of the child to the caregivers. Information on siblings, pets at home, soothing techniques, and family dynamics offers additional context to personalize the care provided. Lastly, it asks parents to communicate their expectations for their child's experience in the center, fostering a collaborative relationship between parents and caregivers for the child's benefit.

Preview - Preschool Enrollment Intake Form

Preschool Enrollment Intake Form

Child’s Name: ___________________________ Date of Birth:____________ Gender:

M

F

Eating

 

Is your child on any special diet? ____Vegetarian

____ovo-lacto ____vegan ____other

Does your child have any food allergies? _______

If yes, please describe _____________________________

__________________________________________________________________________________________

Would you allow us to post a photo of your child to alert all staff to his/her allergy?

 

Yes

 

No

What does your child use to drink?

 

 

 

 

____bottle

____ sippy cup ____ regular cup ____nursing _____other:__________________

How often does your child eat? _______________________________________________________________

Sleeping

 

 

 

 

 

Does your child nap?________ How many times per day? _________

How long?_________________

Does your child sleep with a special blanket, toy or “lovey”, or pacifier?

 

 

Yes

 

No

 

 

 

Are there specific bedtime routines at home? ____________________________________________________

_________________________________________________________________________________________

Where does your child sleep at home? __________________________________________________________

Toileting

 

 

 

Does your child use diapers?

Yes

No

____Cloth ____Disposable ____Pull ups

If cloth, remember that we are unable to launder diapers and they will be bagged and sent home un-rinsed and un-emptied.

Are there any specific ointments or lotions your family uses: _______________________________

Does your child use a potty or the toilet? ________________________________________________________

How does your child let you know that it’s time “to go”? ____________________________________________

Does your child need regular reminders to use the bathroom

 

 

 

Yes

 

No

Development

 

 

 

 

 

 

 

 

 

 

 

 

Do you have any concerns about your child’s development?

 

 

 

Yes

 

No

____Hearing ____Vision ____Language ____Gross Motor ____Fine Motor ____Social ____Other

__________________________________________________________________________________________

__________________________________________________________________________________________

What is your child’s primary spoken language? ___________________________________________________

Are there other languages being used with your child_______________________________________________

Preschool Enrollment Intake Form

Social and Emotional development Has your child been in child care before?

Yes

No

Is your child comfortable in group situations?

Yes

No

What is your child’s regular routine when at home? ______________________________________________

__________________________________________________________________________________________

Is there anything we should know about your child's play with other children, by themselves, any concerns?

__________________________________________________________________________________________

__________________________________________________________________________________________

What kinds of activities does your child enjoy? Are there activities your child avoids?

__________________________________________________________________________________________

How would you describe your child’s temperament and personality? _________________________________

_________________________________________________________________________________________

Does your child have any siblings? ____________________________________________________________

Does your family have any pets? _______________________________________________________________

What soothes your child? _____________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

What frightens your child? ____________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

Does your child have any favorite songs or games that comforts them?_________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

What are your expectations or hopes for your child at our child care center?

__________________________________________________________________________________________

What are your expectations for the Children's Center and Center staff members?

__________________________________________________________________________________________

__________________________________________________________________________________________

Is there anything regarding your family, extended family or child that you would like to share with us?

__________________________________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

Document Specs

Fact Description
Basic Information The form collects basic information about the child, including name, date of birth, and gender.
Dietary Needs Parents can specify if the child is on a special diet and note any food allergies, including if photos can be used to alert staff to these allergies.
Drinking Habits It asks about the child's drinking habits, such as use of a bottle, sippy cup, regular cup, or nursing.
Sleeping Patterns Questions cover napping frequency, duration, and sleep aids like special blankets or toys.
Toileting Parents must indicate if the child uses diapers and type, potty or toilet preference, and any toileting cues or needs.
Development Concerns Any concerns about the child’s development across various areas such as hearing, vision, and social skills can be noted.
Language The form queries the child’s primary spoken language and any other languages used at home.
Social and Emotional Development Questions aim to understand the child's comfort in group situations, previous child care experience, and interaction with others.
Family and Home Environment Insights into the child’s home life, routines, family members, pets, and any additional information parents wish to share can be provided.

Instructions on Writing Preschool Enrollment Intake

Filling out the Preschool Enrollment Intake Form is a significant step towards securing a spot for your child in preschool. The information you provide on this form will help the preschool staff better understand your child’s needs, preferences, and background, ensuring a smoother transition to a new environment. By accurately completing this form, you are ensuring that your child’s dietary, sleeping, toileting, developmental, and social needs are known and can be accommodated right from the start. Here’s how you can successfully fill out the form:

  1. Start by writing your child’s full name, date of birth, and gender in the designated spaces provided at the top of the form.
  2. Eating:
    • Indicate if your child is on a special diet by checking the appropriate box (vegetarian, ovo-lacto, vegan, other).
    • Answer whether your child has any food allergies. If yes, provide details describing the food allergies.
    • Decide and indicate whether you are comfortable with a photo of your child being posted for staff awareness of his/her allergy.
    • Share what your child uses to drink (bottle, sippy cup, regular cup, nursing, or other) and describe any other details about eating habits, including frequency.
  3. Sleeping:
    • State whether your child naps, including how many times per day and for how long.
    • Indicate if your child needs a special blanket, toy, “lovey”, or pacifier to sleep.
    • Describe any specific bedtime routines that might help your child at preschool.
    • Explain where your child usually sleeps at home.
  4. Toileting:
    • Check the appropriate box to indicate whether your child uses diapers (cloth, disposable, pull-ups).
    • Mention any specific ointments or lotions your child uses.
    • Describe your child’s toileting habits, including how they indicate needing to use the bathroom.
    • Answer whether your child needs regular reminders to use the bathroom.
  5. Development:
    • Express any developmental concerns you may have regarding your child (hearing, vision, language, gross motor, fine motor, social, other).
    • Write down your child’s primary spoken language and any other languages being used at home.
  6. Social and Emotional Development:
    • Answer questions related to your child’s previous childcare experience, comfort in group situations, regular home routine, and play behaviors.
    • Discuss your child’s temperament, personality, siblings, pets, activities your child enjoys or avoids, and anything that soothes or frightens them.
    • Share any favorite songs or games that comfort your child.
    • Detail your expectations or hopes for your child at the childcare center, your expectations of the center and its staff, and any additional information about your family, extended family, or child that you wish to share.

Once you've filled out the form, review it to ensure all information is accurate and complete. This comprehensive approach provides a solid foundation for your child’s upcoming preschool experience, allowing staff to cater to your child’s unique needs from day one.

Understanding Preschool Enrollment Intake

What kinds of information do I need to provide about my child's eating habits?

You will need to indicate whether your child is on any special diet, such as vegetarian, ovo-lacto, vegan, or another type. Additionally, it's important to mention any food allergies your child has, and you'll have the option to allow the preschool to post a photo of your child to alert staff to their allergy. You should also specify what your child uses to drink—bottle, sippy cup, regular cup, nursing or other. Lastly, information about how often your child eats is also requested.

How does the Preschool deal with nap time, and what information should I provide?

You should indicate whether your child naps, including how many times per day and the duration of each nap. It's also key to mention if your child needs a special blanket, toy, "lovey," or pacifier to sleep, as well as any specific bedtime routines. Providing details on where your child sleeps at home helps the preschool align their nap time arrangements as closely as possible with your child's needs.

What details are necessary for toileting needs, and how does the preschool handle this?

If your child uses diapers, please specify the type: cloth, disposable, or pull-ups. Note that cloth diapers cannot be laundered by the preschool and will be sent home un-rinsed. Also, mention any specific ointments or lotions your family uses. Indicate whether your child uses a potty or toilet and how they signal the need "to go," along with whether they require regular reminders to use the bathroom.

Are there specific developmental concerns or languages spoken I should mention?

Yes, it's important to disclose any developmental concerns you may have related to hearing, vision, language, gross motor, fine motor, social aspects, or other areas. Additionally, mentioning your child's primary spoken language and other languages used at home helps the preschool provide the most supportive environment possible for your child's development.

What information should I provide about my child’s social and emotional development?

Details about whether your child has previously been in child care, their comfort in group situations, and their regular routine at home are essential. Discuss your child's play preferences both with other children and alone, any concerns you might have, and the activities they enjoy or avoid. Describing your child's temperament and personality, the presence of siblings or pets at home, what soothes and frightens your child, along with any favorite songs or games, supports the preschool in crafting a personalized care approach. Additionally, sharing your expectations for your child and the center, as well as any family information you wish to disclose, enables the center to better meet your needs.

Common mistakes

One common mistake made when filling out the Preschool Enrollment Intake form is neglecting to provide details about their child’s diet, particularly if the child is on a special diet. Parents might select an option like vegetarian or vegan but fail to elaborate on specific nutritional needs or restrictions. This lack of detail can hinder the preschool's ability to cater to the child’s dietary requirements effectively.

Another issue often encountered is an incomplete description of food allergies. While some parents indicate that their child has food allergies, they occasionally do not specify the allergens or potential reactions. Offering to post a photo of the child to alert staff to his/her allergy is a crucial option that is sometimes overlooked. A thorough explanation ensures all caregivers are fully informed and can prevent allergic reactions.

Parents sometimes inadequately describe their child's sleeping habits, such as napping frequency and duration, or fail to mention if the child sleeps with a special item like a blanket or toy. This information is critical for preschool staff to maintain a comfortable and consistent naptime routine, mirroring the one at home as closely as possible.

Regarding toileting, a not uncommon mistake is omitting details about the child's readiness or the specific type of diapers used, if any. For children who use cloth diapers, it's important to acknowledge that the staff cannot launder them, a fact that is occasionally overlooked, leading to confusion and inconvenience.

When discussing development concerns, parents sometimes check off areas like hearing or fine motor skills without providing a further explanation. This lack of specificity can impede the preschool's ability to provide targeted support or accommodations for the child's needs.

Language information is another area where omissions occur. The form asks about the child's primary spoken language and other languages used at home. However, not all parents detail the linguistic environment of their child, which can affect how language support is provided in the preschool setup.

Insufficient information about a child’s social and emotional development is also a frequent oversight. Whether a child has previously been in childcare or how they interact in group situations are essential factors for staff to know to ensure a smooth transition and integration into the preschool environment.

Last but not least, parents sometimes have vague responses regarding their expectations and goals for their child’s time at the center as well as for the center's staff. Setting clear, actionable expectations helps both parents and staff work together towards a common goal, fostering a beneficial environment for the child’s growth and development.

Documents used along the form

Enrolling a child in preschool is a significant step in their development, requiring careful preparation and the submission of several important documents in addition to the Preschool Enrollment Intake form. This form gathers essential information about the child's daily habits, dietary needs, and developmental milestones, among other details. To ensure a smooth enrollment process and transition for the child, parents and guardians may need to provide additional documents that complement the intake form, further aiding the preschool in offering a nurturing and supportive environment tailored to each child's needs.

  • Immunization Record: This document provides a history of all vaccinations the child has received. Preschools often require an up-to-date immunization record to comply with state regulations and to ensure the health and safety of all students and staff.
  • Emergency Contact & Medical Authorization Form: It lists critical contact information for parents, guardians, and other individuals authorized to pick up the child from preschool. Additionally, it includes permission for the school to obtain emergency medical care for the child if necessary.
  • Child Health Report: Typically completed by a pediatrician, this report provides a comprehensive overview of the child's health, including any ongoing medical conditions, allergies, or special health care needs. This ensures that the preschool can adequately prepare and respond to individual health requirements.
  • Parent’s Agreement or Contract: This document outlines the policies and procedures of the preschool, including tuition fees, payment schedules, and rules regarding illnesses, vacations, and discipline. Signing this agreement signifies that the parents or guardians understand and accept the school’s policies.

Together, these documents, along with the Preschool Enrollment Intake form, create a complete profile of the child, ensuring that the preschool can provide a caring, attentive, and safe environment. By submitting these forms, parents and guardians play a crucial role in facilitating their child’s successful integration into the preschool community, laying a solid foundation for their educational journey.

Similar forms

One document similar to the Preschool Enrollment Intake Form is the Pediatrician's New Patient Intake Form. This form collects comprehensive health information about a child upon their first visit to a pediatric clinic. Like the preschool form, it asks for the child's name, date of birth, and dietary restrictions, but it goes further into medical history, vaccinations, and family health history. Both forms are crucial in ensuring that professionals have the necessary information to care for children's specific needs adequately.

Another document that shares similarities is the School Registration Form. This form is filled out when enrolling a child in a new school and gathers basic information such as the child's name, age, and previous educational background. Like the Preschool Enrollment Intake Form, it aims to capture essential information to integrate the child into the new environment but focuses more on academic history and less on personal care routines or dietary needs.

The Childcare Daily Report Form is also akin to the Preschool Enrollment Intake Form. It's used daily in childcare settings to document a child's activities, including eating, sleeping, and toileting, just as the intake form collects preemptive information on these routines. The primary difference is that the daily report form tracks the child's behavior and routines on an ongoing basis, while the intake form provides an initial overview.

The Camp Registration Form shares similarities with the preschool form, gathering detailed information about a child before participating in camp activities. Like the preschool form, it collects data on health allergies, dietary needs, and emergency contacts to ensure the child's safety and well-being while away from home. Both forms serve as a proactive measure to address any special requirements or concerns.

An Emergency Contact Form is another document similar to the Preschool Enrollment Intake Form. This form focuses exclusively on gathering contact information for use in emergencies, including names, relationships to the child, and phone numbers. While the preschool form includes this information, it is part of a broader scope of data collection, underscoring the importance of preparedness in different contexts.

The Special Needs Assessment Form closely aligns with the developmental concerns section of the Preschool Enrollment Intake Form. It's designed to identify and document any special educational or healthcare needs a child might have, enabling educators and caregivers to provide appropriate support. Both forms play a critical role in advocating for children's individual needs in educational and care settings.

A Food Allergy Action Plan is another document that resembles part of the Preschool Enrollment Intake Form. This plan is typically more detailed about a child's food allergies, specifying the signs of an allergic reaction and the steps to take if one occurs. Although the preschool form asks about food allergies and dietary restrictions, the action plan is focused on managing and responding to food allergies effectively.

The Immunization Record is similarly critical, detailing a child's vaccination history. While the Preschool Enrollment Intake Form may inquire about general health concerns or conditions, the immunization record provides specific information about vaccines received, dates, and any reactions. Both documents are essential for maintaining public health within communal settings like schools and childcare centers.

A Language and Speech Evaluation Form is also related, especially for children undergoing assessment for language or speech development issues. It reflects the concern for developmental milestones found in the Preschool Enrollment Intake Form but is dedicated solely to assessing and addressing speech and language concerns, facilitating targeted interventions.

Last, the Family Background Information Form resembles the Preschool Enrollment Intake Form in its effort to understand a child's home environment and family dynamics. This form may delve deeper into parents' education levels, employment, and family routines, providing a comprehensive view of the child's background. Both forms appreciate the significant influence of family and home life on a child's development and behavior in educational or care settings.

Dos and Don'ts

When filling out the Preschool Enrollment Intake form for your child, it's essential to approach the task with both thoroughness and clarity. Below are lists of do's and don'ts that can guide you through this important process.

Things you should do:

  • Provide accurate information: Make sure that all the details you provide, especially regarding your child’s health (like allergies) and personal needs (such as dietary restrictions), are current and accurate.
  • Be clear about your child's needs: If your child requires special attention in areas like eating, sleeping, or toileting, clearly specify these requirements to ensure their well-being while at preschool.
  • Include detailed routines: Share detailed routines related to sleep, eating, and other daily activities to help the staff provide a consistent and comforting environment for your child.
  • Express any development concerns: If there are any worries about your child's development in areas such as language or social skills, don’t hold back. The preschool could offer valuable support or resources.
  • Communicate your expectations: Clearly outline what you hope your child will gain from their preschool experience, as well as your expectations from the preschool staff. This helps ensure that your goals align with the preschool’s capabilities.
  • Discuss your child's personality: Giving insights into your child’s temperament, likes, dislikes, and what soothes or frightens them can equip the staff to provide more personalized care and make your child's preschool experience enriching and comforting.

Things you shouldn't do:

  • Omit important health information: Failing to disclose crucial health-related information, such as allergies or chronic conditions, can pose risks to your child’s well-being.
  • Use unclear language: Avoid vagueness in your responses. Clear, concise information helps the preschool staff understand and meet your child’s needs effectively.
  • Forget to update contact information: Make sure all contact information is current. In case of emergencies, the preschool must be able to reach you promptly.
  • Underestimate your child's needs: Don’t downplay any challenges or needs your child might have. Preschool staff are there to support your child, and full disclosure enables them to do so effectively.
  • Ignore the instructions on the form: Each question is designed to gather specific information. Carefully read and follow the instructions to ensure you're providing the information in the expected manner.
  • Leave sections incomplete: If a question or section does not apply to your child, indicate this with a note such as "N/A" (not applicable) rather than leaving it blank. This shows that you didn’t accidentally overlook any parts of the form.

Misconceptions

When it comes to the Preschool Enrollment Intake Form, parents and guardians may have some misconceptions about its purpose and requirements. It’s essential to clarify these misunderstandings to ensure the process is as smooth as possible for both the family and the preschool staff.

  • It’s only about allergies and dietary requirements. While there are questions related to eating habits, allergies, and special diets, the form covers much more. It includes sections on sleeping patterns, toileting, social and emotional development, and other aspects of your child’s routine and needs.

  • Personal information is unnecessary. Each section is designed to gather comprehensive information about your child to provide the best care possible. Knowing your child's habits, preferences, and developmental stage helps teachers and caregivers create a supportive and nurturing environment.

  • Any staff member can access your child’s information. Privacy is paramount, and access to these forms is limited to staff who are directly involved in your child's care. This ensures that sensitive information about your child and family remains confidential.

  • You can’t update the information once submitted. On the contrary, it’s encouraged to update the form as your child grows and their needs change. Communicating any new allergies, dietary changes, or developmental milestones helps keep the staff informed and your child safe and supported.

  • The form is only for the preschool’s benefit. While the form certainly helps the preschool in providing tailored care, its primary purpose is to benefit your child. By understanding your child's unique characteristics and needs, the staff can ensure a positive and enriching preschool experience.

  • Submitting the form guarantees enrollment. Completing and submitting the intake form is a crucial step in the enrollment process, but it does not automatically guarantee a spot for your child. Enrollment depends on various factors including space availability and meeting the preschool's requirements.

Understanding these aspects of the Preschool Enrollment Intake Form can help parents and guardians navigate the enrollment process more effectively, ensuring that both their needs and those of their child are met.

Key takeaways

Filling out a Preschool Enrollment Intake form is a crucial step in ensuring a smooth transition for both the child and the preschool. Here are key takeaways to consider while completing the form:

  • Provide detailed information on your child's dietary needs. Whether your child is vegetarian, vegan, or has food allergies, disclosing this ensures the preschool can cater to their nutritional requirements safely.
  • Understanding your child's sleep habits—including naps, special sleeping aids like a blanket or a toy, and bedtime routines—helps the preschool replicate a familiar environment, fostering better adjustment and comfort.
  • Be clear about your child's toileting needs, such as if they use diapers or the potty. Including specifics about diaper types (cloth, disposable) and bathroom reminders can assist caregivers in providing appropriate care.
  • Discussing your child's developmental milestones and any concerns in areas like hearing, vision, or social skills will help the preschool staff provide tailored support and identify if any additional resources are required.
  • Detailing your child's language skills, including their primary language and any others they're exposed to, enables the preschool to engage with your child effectively and respect their linguistic background.
  • Sharing insights on your child's social and emotional development, their comfort in group settings, their routine, and how they interact with others offers valuable context for teachers as they facilitate social interactions and plan activities.
  • Providing information on your child's interests and personality traits helps teachers create engaging and enriching experiences that resonate with your child, promoting positive emotional and intellectual growth.
  • Finally, discussing your expectations and any particular family circumstances offers the preschool insight into the best way to support your child's unique needs, aligning the care provided with what's valued and practiced at home.

By carefully filling out each section of the Preschool Enrollment Intake form, parents can equip educators with the knowledge necessary to create a nurturing, personalized learning environment that enriches their child's early educational journey.

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