The Learning Barn Childcare Center Preschool Daycare Naugatuck, CT, 06770. Family

We're so excited that you're joining our program soon! Please take a few minutes to fill out this form so we can get to know you and your child better.

Children's Information

Has your child been in any early learning programs before? If so, please share more details.

How would you describe your child's personality in a few sentences?

How does your child learn about the world around them?

How does your child feel about starting our program?

What is most comforting to your child when they are upset?

What are your child's favorite toys and games?

Does your child enjoy looking at books or reading at home? What is their favorite book?

Family Information

Tell us about your household (who lives with you, their relationships to your child, and any other details you'd like to share).

Is there any information about your family's culture, religion, or language that is important for us to know?

Do you or your family members have any talents or interests you would like to share with our program?

How else can we support you?

What are your expectations of our program?

Do you have any questions about the facilities, program, or curriculum?

What are your greatest hopes for your child's early education experience? Do you have any concerns?

Is there any other way our program can support your family (e.g., referrals to community resources)?

Field Trip/Walking and Transportation Permission

I understand that occasionally, the class might take a neighborhood walk around the center grounds, (outside of the playground fence) and all Staff will supervise children, in manner, to ensure their safety. ongoing manner, to ensure their safety.

Outdoor Activities Permissions

I grant permission for my child to use the gross motor play equipment, sandbox, and other appropriate items used at the center outdoor play area.

Photo Permission Form

I give permission to The Learning Barn Childcare Center & Preschool, LLC to take pictures and videos for the purposes of

Please initial the ones you are providing permission for

Classroom Documentation Website Facebook Brightwheel updates Classroom Purposes Promotional Items I do not want my child photo graphed

Medical Information

If Child's Physician cannot be reached it is acceptable to contact

Does your child have an IEP/IFSP, please share a copy with The Learning Barn Childcare Center & Preschool, LLC. This will help our Teachers be intentional in the goals they work on, supporting your child alongside the school system.

Names of siblings in our care

Has your child had previous day care experience?

Yes No

Family Intake Form