Child Care Registration - Fall 2022

Child profile form for group child care – Fall 2022

Improv Care understands that professional training and developed child care skills are important ingredients for a successful care experience. We also know that properly matching the care provider with each child and family results in an exceptional experience. We carefully compare the needs and interests of each child with the talents and personalities of our care providers. We will use your completed child care questionnaire to match the right care professional with your child and develop their individualized activity plan. *Asterisk indicates required field.

Parent name(s), first and last*
First Last
Child name(s)*
First Last
Child's age*
Child's date of birth*
Email address*
Cell phone number*
Alternative number
Emergency contact person*
First Last
Emergecy contact phone*
Allergies: type, high risk or low risk, treatment, please explain*
Medical issues: please describe*
Restrictions: diet, exercise, mobility, off-limit activities
Meal arrangements: favourite meals and snacks, restricted foods*
Regular or special routine requirements: Please explain
Child's favourite activities: books, songs, toys, games
Comforting your child: your secrets (ways to be held, silly things for a laugh, etc…)*
Please share any additional information that you would like us to know about your child and family

Child Care Registration – Fall 2022

Child profile form for group child care – Fall 2022