Primary 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 Gender*UnspecifiedBoyGirlUpload 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.* Primary Half-Day (for children 3-4 years) Primary Full-Day (for children 4-6 years) Early Arrival After School Care 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?*Does your child nap? Do they sleep through the night? How would you describe their overall sleep habits?*What is your child's evening routine? Do they have a regular bedtime?*Is your child toilet trained? If so, when were they trained?*How does your child deal with separation?*Daycare/School ExperienceHas your child had previous school or daycare experience? If so, when and where? How would you describe their experience?*Please describe you child's school experience during COVID times.*When did you begin reading to your child?*How often and how long do you read to them now?*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?*Is it your intention to keep your child in Montessori education through Elementary? (this question is for enrollment projections only and has no weight in our admission decisions)*YesNoNot sure yetHow 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.*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 support or therapy?*YesNoIf yes, please explain and include suggestions for how we can best support your child in the classroom.What three words best describe your child?*Please list anything else you would like to tell us about your child.CommentsThis field is for validation purposes and should be left unchanged.
