STUDENT INTAKE FORM

We value the partnership between our staff and your family. This form helps us get to know your child better and understand their needs so we can provide the best care and learning experience.

Your full name

Student's full name

STUDENT INFORMATION

Student's preferred name at school

What year will they begin Kindergarten?

Is there anything about how your child identifies that you would like us to know?

How would you describe your child’s personality?

What activities is your child drawn to?

HEALTH AND SAFETY

Please check all that apply. Some may require an additional form which can be turned in on the first day of school.

My child has an allergy

My child has a dietary need or adjustment (vegan, lactose intolerant, kosher, etc...)

My child needs medication to be kept at school

My child has been diagnosed with a medical, behavioral, or developmental conditions that the school should be aware of

My child will be napping at school

Please select an option

PARENT SUPPORT PROGRAM

At Hazelwood Preschool, we believe in supporting our families as well as our students. We have a Parent Support Program where we bring in experts from various fields to give talks and provide resources to our families. For example, we have had Occupational Therapists share valuable insights about their services and the needs of our children and this past year, we held Family Yoga classes Saturday mornings.

Are there any specific topics or experts you would like to see in our Parent Support Program?

CLASSROOM INVOLVEMENT

We love having families involved in our preschool community. Parents volunteer in many areas like classroom activity support, behind the scene help, fieldtrip chaperone, story-time reader, etc.

Please reach out to me with volunteer opportunities!

CULTURAL NEEDS

Are there any cultural customs or language needs that we should be aware of to support your child’s experience at our preschool?

Does your family celebrate any holidays or traditions that you would like to share with the class?

ADDITIONAL INFORMATION

Is there anything else you would like us to know about your child or family?