CASAEARLYLEARNING.COM
TODDLER INFORMATION
Name: _______________________________________ Date of birth:________________________________
Allergies and diet specifications (documentation must be on file):________________________________
__________________________________________________________________________________________
Diapering and potty progress - Parents initial and date:
________ May use cloth diapers (we provide) ________ Uses pull-ups (parents provide)
________ Parents provide diapers ________ Sitting on the potty at school
________ Sitting on the potty at home Notes about toileting: _______________________
___________________________________________
Notes about napping: _____________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Notes about eating: _______________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Notes about communication and effective methods for comforting: _____________________________
_________________________________________________________________________________________
__________________________________________________________________________________________
Describe anything you would like us to know about your family’s values, beliefs, experiences,
communication, or language that influence your child’s care: ___________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________