Gan Elohim Face Sheet

Child Information







Parent/Guardian Information


















Additional Child Information













Developmental History












Health








Allergy Information



Please note: We require two (2) Epi-Pens per child as prescribed by the pediatrician along with a signed Allergy Action Plan. Refer to Parent Manual for details.
Eating Habits




Toilet Habits















Sleeping Habits





Social Relationships










Daily Schedule


Permissions
Transportation Plan 



Topical Medication/Ointments


Photos and Videos





Photo Uploads
*** NOTE: Total photo size (both photos combined) must not exceed 25 MB.  Attempting to upload files that are too large may result in losing the data you've already entered in this form.
[.jpg, .png, or .gif formats preferred.]


Immunization Form Upload
Your child's most recent physical update and immunization record including evidence of lead testing must be on file at school. You may submit it here, in person, or by mail.

Family Involvement


Electronic Signature