Child Information Form
Parents’ Morning Out (PMO)

Child’s Name _____________ Nickname (if any) _____________

Age________ Birthday___________ Parents’ Names _____________

Sibling(s) Names and Ages _____________

Favorite Toys and Activities _____________

Favorite Books or Topic for Learning _____________

Favorite Foods and Beverages _____________

Allergies _____________

Health Concerns _____________

What might upset your child? _____________

What seems to work in calming your child following an upset? _____________

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What songs does your child know and enjoy? _____________

What helps your child separate from you? _____________

What else should we know about your child? _____________

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