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: ___________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
CASAEARLYLEARNING.COM
My child enjoys:___________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Notes about how my child interacts with other children: ________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
My child’s emerging personality traits are: ____________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
In summer: We encourage parents to apply sunscreen to children in the morning before arrival.
Please let us know if you would like us to apply sunscreen at school. You are welcome to bring a
bottle of sunscreen labeled with your child's first and last name and a Nonprescription Topical
Product Administration Form must be filled out. Please be aware that in case of siblings, each child
needs their own authorization form.
In winter: Remember to bring all necessary outdoor clothing including boots, snow pants, and
waterproof mittens. Label all articles with child’s first and last name.
Parent / Guardian Signature: __________________________________________ Date: ________________