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Family Profile
Getting To Know Your Child
Tell us your child's favorite activities
What are your child's favorite foods? Any dislikes?
Describe your child's character
How does your child express his or her feelings?
Does your child have any special attachements (i.e. blanket, toy)?
Please list any concerns or behaviors you would like our help with
Describe any special needs or accommodations
Getting To Know Your Family
Who lives at home(s), including pets
Please list your family's interests
Please list all languages spoken at home
Please list family traditions celebrated
Any recent changes (i.e. new baby, move, job change)?
Person Completing Application
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