Lower Elementary Admissions – Family Questionnaire For all families considering Parkside for the next school year, please complete and submit this questionnaire before your required classroom observation and administration meeting. Child's InformationChild's Name:* First Last Date of Birth:* MM DD YYYY GenderUnspecifiedBoyGirlUpload Child's Picture*Upload a recent picture of your child (family photos are accepted as well).Which programs are you interested in? Please check all that apply.* Regular school day (8:30-3:00), nothing additional Early Arrival After School Care Parkside Shuttle Not sure yet Family InformationParents'/Guardians' Names and Occupations:*Preferred Phone Number*Preferred Email Address* Do both parents/guardians live in the same house?*YesNoNames and ages of siblings:*What is your child's first language?*What other languages are spoken in the home?*What is your child's morning routine? Do they have a regular wake-up time?*What is your child's evening routine? Do they have a regular bedtime?*How does your child deal with separation?*School ExperiencePlease list the name and dates of attendance of all schools that your child has attended, describe their experience, and include your reason for leaving.Name of School:*Name of School:Please describe your child's school experience during COVID times.*Please describe your child's reading level and list the books they are currently reading.*What would you consider to be your child's academic strengths and challenges?*What would you consider to be your child's social strengths and challenges?*Describe your child's screen time (TV, video, computer, iPad, etc.) - when and how long?*What are your child's interests and favorite activities?*Why are you choosing Montessori education?*What do you know or what have you read about Montessori education?*How did you find out about Parkside?*Online SearchSchool Street SignPublicationParkside Family (Current or Alumni)OtherHealth InformationAll students enrolled at Parkside must be up to date on their immunizations or have a qualifying medical exemption that prevents full compliance with the CDC's Recommended Vaccinations for Children. Parkside does not accept non-medical exemptions for any reason.*My child is up to date on their immunizations.My child has a medical exemption for one or more immunizations.Does your child have any allergies or sensitivities (food, medications, environmental, etc.) we should know about?*Does your child follow any particular diet (vegetarian, vegan, keto, etc.)?*Anything significant in your child's medical history we should know about?*Has your child been professionally evaluated (speech, SI, OT, etc.)?*YesNoHas your child received or are they currently receiving outside tutoring, support, or therapy?*YesNoIf yes, please explain and include suggestions for how we can best support your child in the classroom. Please also provide a copy of any current IEP, 504, or other plan for accommodations.What three words best describe your child?*Please list anything else you would like to tell us about your child.NameThis field is for validation purposes and should be left unchanged.