Face Sheet 2020-2021 Child's First Name Child's Last Name Date of Birth Primary language spoken at home Place of Birth Eye Color Hair Color Height Weight Gender Skin Color Identifying Marks (describe) *Allergies* Individual Health Care Plan for chronic health conditions yes (if "yes," please attach) no Custody agreement, court order, restraining order yes (if "yes," please attach) no Special limitations or concerns? Please explain. Parent/Guardian Information Name Relationship to Child Primary Language Home Address Cell Phone Home Phone Email Address Do you want to receive tuition reminders, newsletters, and other emails at this address? yes no Occupation Business Name Business Address Business Phone Hours at Work Second Parent/Guardian Information Name Relationship to Child Primary Language Home Address Cell Phone Home Phone Email Address Do you want to receive tuition reminders, newsletters, and other emails at this address? yes no Occupation Business Name Business Address Business Phone Hours at Work Family members living in the home with the child (name/relationship/age) Family Directory Information Please fill in the fields here which you would like shared with the other families in your child's session. Information will be shared exactly as it is entered. Fields left blank will not be shared. Parents Home Address Phone (with description: home, cell, etc.) Email Signature * Clear reCAPTCHA Δ
