Child Information Sheet Name ______________________________________________

First Last

Caregiver ______________________________ Relationship to child________________

CAREGIVER
Caregiver ______________________________ Relationship to child________________

CAREGIVER
Address_________________________________________________________________
CHILDS PHOTO Street City State Zip

Phone _______________________ Email ______________________________________

Preferred method of contact* Phone Email Preferred contact time* ____________

Language(s) spoken by caregiver ____________________________________________

Preferred Name
Caregiver ______________________________ Relationship to child________________
Date of Birth (mm/dd/yyyy)
CAREGIVER

Address_________________________________________________________________
Street City State Zip
Phone _______________________ Email ______________________________________
Language(s) spoken by child
Preferred method of contact* Phone Email Preferred contact time* ____________

Language(s) spoken by caregiver ____________________________________________

*Ensure school policies for communicating with caregivers are always followed.

Activity/Learning Material Center Other (food, color, etc.)

FAVORITES

Reference the Developmental

Well Somewhat Emerging Notes
Checklist for 4-year-old students

Plays with friends

Approaches to Learning

Follows directions

Listens

Participates in whole group activities

Completes independent activities

Independently completes transitions

Independently completes routines

Pre-K to Kindergarten Transition Folder

 Play Style Notes
Active Quiet Mixed
Messy Clean Other: ____________
Leader Follower Other: ____________
Independent Cooperative
Learning Style Notes
Auditory Visual Kinesthetic
PERSONALITY

Completes Activities/Tasks Notes

Freely Seeks guidance/support

Temperament Notes
Easy Complex Slow to Warm-up

Personality Notes

Outgoing Sensitive Cautious

Moves/Works Notes
Quickly Slowly Average Speed

AREAS OF GROWTH A ND WHAT

SKILLS AND PROFICIENCIES OTHER USEFU L INFORMATION
HE/SHE DOES NOT LIKE TO DO

Pre-K to Kindergarten Transition Folder