Professional Documents
Culture Documents
Ko ahau tenei
Date20 / 02/ l?
My name is (Ko) tÖku ingoa
Anything else:
Name
Date of birth C) 9/06/ q
Start date Days and hours of attendance
Parents Name e Siblings names
Sleep pattern:
What time/s does your child have a sleep?
Does your child require anything 'special' to take to bed? (eg
dummy, special blanket, or toy)
Eating patterns:
Does your child dislike any foods? enf
Are there any foods you would prefer us not to give your child? O
Allergies:
Does your child have any allergies?
Does your child suffer from seizures, high temperatures, illness? (anything relevant)
J
Toileting routines:
Is your child in nappies or toilet trained? (any special techniques, please let us know)
Comforting Routines:
Has your child settled easily when s/he has been left before?
What has helped? S
Does your child have any fears?
Does your child have a special toy that comforts him /her?
Signature Date20 oz
June: 2015 Page 1 of 1
MANUAL:
CHILD HEALTH & SAFETY
SECTION: #estStartfir
SLEEPING CHILDREN Education and Care Centres
Is there anything else that we need to take into consideration to best support your child with
sleeping?