Is your child toilet trained? if yes, at what stage? *
Your answer
Does your child receive any special services, occupational therapy, speech therapy, etc? *
Your answer
Daily Routines
What time does your child wake up?
Your answer
What time does your child go to bed? *
Your answer
Does your child nap during the day? If yes, when and for how long? *
Your answer
Health
Please specify any serious/severe illnesses or accidents
Your answer
Does your child have frequent colds? *
Your answer
Do you have any medical concerns?
Your answer
Is the child presently under a doctor's care? If yes, what is the name of the doctor?
Your answer
Does your child take any prescribed medications? If yes, what type(s)?
Your answer
Does your child use any special device(s)? If yes, what kind? *
Your answer
Diet
What does your child usually eat for breakfast? *
Your answer
What does your child usually eat for lunch? *
Your answer
What does your child usually eat for dinner? *
Your answer
Does your child have any food dislikes or allergies?
Your answer
Personality and Social Interactions
What is your evaluation of your child's personality? *
Your answer
How does your child get along with parents, siblings, and other children? *
Your answer
Has your child had any group play experiences? If yes, please describe. *
Your answer
Does your child have any special problems/fears/needs that we should be aware of? *
Your answer
What other classes, activities is your child enrolled in? *
Your answer
What are you looking for in a preschool experience for your child? *
Your answer
Waldorf
Why do you feel your child would be a good fit for our program? *
Your answer
Are you familiar with the Waldorf Philosophy of early education? *
Your answer
Are you willing to commit to be media free? *
Are you willing to volunteer, attend parent evenings, participate in fund raising, etc.? *
Your answer
Anything else you want to tell us about your child or your family. *
Your answer
Next Step
Once your application has been reviewed and you have attended a tour, we will contact you in order to schedule an interview. Please indicate your availability for scheduling an interview. *
Your answer
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