Parents, please fill out this questionnaire for your child’s teachers! Child’s Full Name/Nickname:_________________________________________________________ Parent/Guardian Names:____________________________________________________________ ________________________________________________________________________________ Phone Number(s):_________________________________________________________________ Please list any allergies that your child has:_____________________________________________ Please list any special needs that your child has:_________________________________________ Please list the goals that you have for your child this year:________________________________ What are your child’s strengths?______________________________________________________ What are some things you would like your child to work on?_______________________________ How can we best help your child this year?_____________________________________________ Is there anything else that you would like to share?______________________________________

Family Pets My Birthday My name is… When I grow up I want to be… Book: Movie: Color: Animal: Toy: Sport: Food: Activity: Family Pets