Forms & Rewards
Here I have listed some of the forms I use and passout, and also the different rewards I offer to my daycare children and their parents.
"INTERVIEW SHEET" (used on our first interview)
Date:___________
Child’s Name(s)______________________________________
Parents Name(s)______________________________________
Address________________________________
Phone Number_______________
*******************************************************
Please check all that apply & fill out appropriate places.
Parents:
Father:
___Working Full Time ___Working Part Time ___Absent
Mother:
___Working Full Time ___Working Part Time ___Absent
Children:
Nutrition Guidelines-
___No Sugar ___Limited Sugar ___No Salt ___Limited Salt
___No juice, unless diluted with water
___No Meat ___No Cows milk
___Other____________________________________________
Diapering-
___Every____hours wet or dry
___As needed
___Use diaper rash cream, lotion, powder after every change, Explain_____________________________________________
_______________________________________________
Potty Training-
___Is Potty Trained
___Currently in Diapers/ Pullup ___Ask Every Hour
___Ask before every meal ___On Demand
Nap Rules/Schedule-
___No Nap
___Nap Routine______________________________________
___On demand (when tired)
Discipline-
___time out, list time out minutes you prefer__________________
___Reasoning, such as no activity that day: Explain what you prefer_______________________________________________
________________________________________________________
Entertainment- (Check if okay)
___Television:How Long?_________________________________
___Restricted Television shows, movies_____________________
______________________________________________________
___Nintendo, Playstation, etc-_____________________________
Allergies-______________________________________________
__________________________________________________
Special Needs and Medications-____________________________
________________________________________________________
Religious Preferences-____________________________________
Is it okay to talk about God, and read stories from the Bible?
___YES ___NO_____
Former Childcare & Phone Number-
1.______________________________________________________
2.______________________________________________________
3.______________________________________________________
Reason left former daycare-_______________________________
________________________________________________________
Are you looking for Temporary Childcare or Permanent Childcare?
________________________________________________________
Date Childcare Needed-___________________________________
Days/ Hours Needed-_______________________________________
________________________________________________________
Paying arrangements (if accepted)- payday:____________
(Please circle)
weekly/ biweekly/ state paid/ promise jobs
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