Nursery Child Info Form

Which option best describes you?(Required)

GVL Teacher/Staff

SPT Teacher/Staff

GVL Campus Parent Assistant

SPT Campus Parent Assistant

Which class best fits the age of your nursery aged child?(Required)

GVL Campus: Teacher/Staff Children- Birth - 1 Year Nursery

GVL Campus: Teacher/Staff Children- 1 - 2 Year Nursery

GVL Campus: Teacher/Staff/Volunteer Children- 2 - 3 Year Nursery

Which class best fits the age of your nursery aged child?(Required)

SPT Campus: Birth - 1 Year Nursery

SPT Campus: 1 - 2 Year Nursery

SPT Campus: 2 - 3 Year Nursery

Which class best fits the age of your nursery aged child?(Required)

GVL Campus: Volunteer Children- Birth - 2 Year Nursery

GVL Campus: Teacher/Staff/Volunteer Children- 2 - 3 Year Nursery

Which class best fits the age of your nursery aged child?(Required)

SPT Campus: Birth - 1 Year Nursery

SPT Campus: 1 - 2 Year Nursery

SPT Campus: 2 - 3 Year Nursery

Parent Name(Required)

First Last

Parent Email(Required)

Parent Phone Number(Required)

Can this number receive texts?(Required)

Yes

At which Greenville campus will you be primarily working or volunteering?(Required)

Grace Church- Taylors (Middle & High School campus)

Hampton Heights (Elementary campus)

Child's Name(Required)

First Last

Child's Birthdate(Required)

Please list all the days your child will attend the nursery.(Required)

If you are a teacher/staff you can just list "all co-op days". If you are a Parent Assistant, please list out the specific days you are scheduled to serve at this time.

Does your child have any known allergies? If yes, please include an explanation.(Required)

Does your child have any known medical concerns? If yes, please include an explanation.(Required)

Emergency Contact #1(Required)

Please list name, relationship, and phone number.

Emergency Contact #2(Required)

Please list name, relationship, and phone number.

Please list anyone who IS ALLOWED to pick up your child from the nursery. If their name is not on the list, they can not pick up your child.(Required)

Please list your child's siblings:(Required)

Name

Age

Is there anything else that you think might be helpful for us to know?

Birth -1 Yr Questions

Does your baby have a lovey? If yes, please describe.(Required)

Does your baby have a paci? If yes, please describe.(Required)

Are there any special instructions for diaper changes?(Required)

Please describe your baby's sleeping patterns/daytime nap routines.(Required)

Do you rock them, then put them down?

Yes

Do you just put them down and let them cry it out? If yes, how long do you let them cry?

Do they prefer complete darkness?

Yes

Do you play music or white noise while they are sleeping?

Yes

Do they sleep on tummy or back?

Tummy

Back

Other

How does your baby like to be held?

Upright

Against you

Laying back in your arms

Football hold

What temperature does your baby like their bottle or food?

Cold

Barely warm

Warm

Are there any special instructions for feeding your child?(Required)

1-2 Year Room

Has your child been in any type of structured setting? (ex. Sunday School, Mother’s Morning Out, Story Time, Kindermusik) If yes, please list:(Required)

Does your child have a lovey? If yes, please describe.(Required)

Does your child have a paci? If yes, please describe.(Required)

Are there any special instructions for diaper changes?(Required)

Please describe your child's daytime nap routines.(Required)

Are there any special instructions for feeding your child?(Required)

List 5 words to describe your child and their personality:(Required)

My child is great at:(Required)

My child needs extra help with:(Required)

GVL Parent Assistant Birth - 1 Yr Questions

Does your baby have a lovey or paci? If yes, please describe.(Required)

Are there any special instructions for diaper changes?(Required)

Please describe your baby's sleeping patterns/daytime nap routines. If you rock them first or just lay them down, if you let them cry it out and if so for how long, etc....(Required)

Are there any special instructions for feeding your child?(Required)

Anything else that would be helpful to know about your child?

2-3 Yr Questions

Does your child wear diapers? If so, any special instructions?(Required)

Is your child potty training? If so, any special instructions?(Required)

Has your child been in any type of structured setting? (ex. Sunday School, Mother’s Morning Out, Story Time, Kindermusik) If yes, please list:(Required)

List 5 words to describe your child and their personality:(Required)

My child is great at:(Required)

My child needs extra help with:(Required)

Does your child have a lovey or comfort item? If yes, please describe what it is.(Required)

Are there any food restrictions or special instructions for feeding your child?(Required)