Registration Preparations

Please schedule a time to stop in to see the Recreation Station facility, classrooms, teachers, and to pick up information packets and information folder.
Our preschool programs fill up fast so please call or stop in the check availability.


Parent Input - Preschool Assessment

In order to appropriately enhance curriculum, the Early Learning Station preschool programs values family involvement in learning about each child.  When preparing to register your child please have the following information ready.

1)  Child’s favorite food(s)

2)  Child’s favorite book(s)

3)  Child’s favorite toy(s)

4)  Child’s favorite activities at home

5)  Child’s favorite activities in school

6)  Child’s least favorite activities

7)  Future goals for my child

Family Information
Having family background helps us understand your child's needs and abilities. The following information will be requested in our registration packets.

Family Info:

Child’s Name:________________________ Sex:___ Nickname:_________

Address:__________________________ City:_______________ Zip:_____

Home Telephone:____________________ Child’s Birth date:___________

Email Address:________________________________________________

Child’s Physician:______________________________________________

Hospital Preference:_____________________________________________

Mother’s Name:________________________________________________

Mother’s Occupation & Business Phone Number:
_____________________________________________________________

Father’s Name:________________________________________________

Father’s Occupation & Business Phone Number:
_____________________________________________________________

Are parent’s divorced/separated? _________Child lives with:____________

Other children in family:
NAME                                               AGE          SEX  
___________________________ ________ ________
___________________________ ________ ________
___________________________ ________ ________
___________________________ ________ ________

Child Info:

Sleeping:
What time does your child go to bed at night? ________ Get up in the morning?_______

Does he/she take a nap or rest during the day? _______________

Toilet:
When your child has to use the washroom, what term is used?____________________

Does your child have any elimination problems? Bladder__________Bowel_________
If yes, please explain:

Personality:
Does your child have any special fears? If so, please explain.

Does your child have any special interests?

Are you aware of any special problems such as aggression, anger, anxiety, hostility?

Medical:
What is your child’s hand preference? Left______Right_______Unknown______

Does your child have any allergies?

Is your child allergic to any foods?

Are there any other foods your child can’t eat for any other reason?

Does your child have any physical limitations?

Does your child have any vision, hearing, or speech problems?

Is your child on any medications? If so what type?

Miscellaneous:
Has your child had previous group/early childhood classroom experience? If so, where and what type?

Is there any information we should have concerning your child which would help us to understand him/her better?

What school will the child attend Kindergarten:__________________________

Photo Permission
We would like to occasionally send photographs into the Daily Journal, Bourbonnais Herald, our brochure and other media outlets so we can show off our wonderful students. We will be taking pictures throughout the year while the children are participating in various activities and events. If we may use your child’s photos for these purposes please sign the permission slip included in the registration packet.

If you have any questions or concerns about the preschool programs, or to schedule an observation, please contact Lisa Milton at (815) 933-9905.


Back to the Preschool Program Main Page