Yes No Yes No

Report 3 Downloads 209 Views

Yes No. If yes, have medication forms been completed? Yes No. Additional information for the caregivers to know about your child's daily requirements or routine ...

Daily Care Form — Pretoddler Date: _____________________________ Child’s Name: ___________________________________

Drop Off Time: _____________________

Parent’s Name: _________________________________

Pick Up Time: ______________________

INFORMATION FROM HOME (to be filled out by parent) What time did your child wake up today? ____________________ Does your child usually nap?

Yes

No

Has your child had breakfast/lunch? Is your child on medication?

If yes, for how long? ____________________________

Yes

Yes

No

No If yes, which medications and why? ________________

__________________________________________________________________________________ Will the center administer the medication?

Yes

No Yes

If yes, have medication forms been completed?

No

Additional information for the caregivers to know about your child’s daily requirements or routine: __________________________________________________________________________________ __________________________________________________________________________________ DAILY HEALTH CONCERNS (to be filled out by parent) Allergies: __________________

Teething: ________________

Rashes: ___________________

Bumps, bruises, or marks: _____________________________________________________________ Additional information for the caregivers: _________________________________________________ __________________________________________________________________________________ INFORMATION ABOUT YOUR CHILD’S DAY (to be filled out by Navy CYP) For breakfast I ate:

None

Some

All

Comment: _____________________________

For lunch I ate:

None

Some

All

Comment: _____________________________

During quiet time I:

Slept

Rested quietly

Didn’t feel like resting

Diaper Changes W = Wet Time

Type

D = Dry Time

B = Bowel Movement Type

Your child enjoyed the following activities: _________________________________________________ __________________________________________________________________________________ Overall, your child’s day was: ___________________________________________________________ For your child’s next visit, be sure to bring: ________________________________________________ Thank you! We look forward to seeing you again soon!

Recommend Documents
Initial Per-Student Revenue. 16. Initial Per-Student Foundation Funding Amount. 17. Initial Per-Student State Foundation Funding Aid. 18. PY ALE FTEs (Qtrs.

Jul 31, 2015 - DATA. 1. 2014 Real Assessment. 2. 2014 Personal Assessment. 3. 2014 Utility Assessment. 4. 2014 Total Assessment. 5. 98% of URT X ...

Select a transcendent source, like. NCLIVE. Is it an electronic resource? For all of. NC. Cardinal? Import or update bib record. Add 856: indicators. 4 + 0, $u link, ...

Futhermore, I understand that the Board of Directors can use my driver's license number and social security number to perform an NCIC background check.

Overall payment is less in the long run. Is your current cash flow needed to support day-to-day business operations? YES. NO. Will this property be right for.

Dec 21, 2017 - Please print or type all information - Application must be postmarked on or before March 1, 2018. ... this application and be responsible for my own costs incurred for transportation, housing, meals, uniform, and personal entertainment

May 30, 2017 - Name of Contact Person. Phone Number. Address: (Street, City, State, Zip) ... The University of Akron. Compliance Office for Athletics. Donation ...

Jan 17, 2017 - CELL PHONE. HOME PHONE ... Please indicate the top five areas that you prefer to officiate? ... and a contract between the Parties and me.

Standard: I can understand the meaning of equivalent expressions. Look at each expression. Is it equivalent to x + 3y. 2 ? Select Yes or No for expressions A–D.

10.50. $. RED Vintage Gem & Frosted Brads. 1.75. $. VP-8208. 10.50. $. VP-8207. 10.50. $. VP-8206. 10.50. $. VP-8205. 10.50. $. VP-8204. 10.50. $. VP-8203.