Parent Reference Form Nursery and Reception | British School of Amsterdam

Child's personal details

Name of child

First*

Last*

Date of birth*

Siblings*

Yes

No

Position in family

1

2

3

4

What language(s) do you speak at home?*

Allergies, dietary requirements and medical information we need to know about*

Enter "not applicable" if there is nothing we need to be aware of.

Does your child go to after school care and if so, on which days?*

Monday Tuesday Wednesday Thursday Friday Does not attend after school care

What year will your child enter?*

Nursery

Reception

Proposed starting date*

Is your child toilet trained?*

This means they can recognise when they need to go to the toilet, use the toilet independently, deal with their own clothing, wipe themselves when finished, and does not need to wear nappies (diapers) or pull ups.

Yes

No

Does you child prefer to sit or stand to use the toilet?*

Sit

Stand

Child's personal qualities

How does your child separate from you?*

How does your child usually react to new situations and new people?*

Do you have any concerns about your child's development or speech?*

What are your child's main interests/special toys at the moment?*

What experience does your child have for outside play? What do they like to do outisde?*

What experience has your child had of playing with other children? How is your child in these situations?*

Has your child had experience of any of the following activities?*

Does your child join in any extra-curricular activities (swimming, music)?*

Does your child have any fears?*

Is there anything that we need to know to make the settling in process as easy as possible?*

Is there anything else that you would like us to know or you are concerned about?*

Parent / Guardian Details

First*

Last*

Email*

Phone*

Parent Reference Form - Nursery and Reception