入园信息登记表.docVIP

Sunrise Kindergarten Children Information Form森润幼儿园入园登记表Applicant Information学生资料Chinese Name中文姓名:English Name英文姓名:Gender Male Female性别: 男 女Date of Birth:出生日期：Place of Birth:出生地点：Nationality:户口所在地（省、市）：Passport Type and Number:证件类型和号码：Beijing Address:北京居住地址：Home Telephone:家庭电话：Requested Star Date:计划入园时间：FamilyGuardian Information家庭监护人资料Parents/父母Fathers Name父亲姓名：Nationality国籍：Native Language母语：Language spoken at home在家使用的语言：Mobile Phone Number手机号码：Email Address邮箱地址：Current EmployerPosition目前的单位职业Employer Telephone单位电话Mother Name母亲姓名：Nationality国籍：Native Language母语：Language spoken at home在家使用的语言：Mobile phone Number手机号码：Email Address邮箱地址：Current EmployerPosition目前的单位职业：Employer Telephone单位电话：Additional Caregiver其他主要照顾者Relationship关系：Name姓名：Nationality国籍：Native Language母语：Mobile Phone Number手机号码：Emergency Contact Person紧急联系人In case emergency , who should the school contact in addition to the parents?(Relationship ,name, address and phone number.)Please designate a hospital and address for school to take the child in case of emergency.万一发生紧急事故，除了父母以外学校应该和谁取得联系（与孩子的关系，姓名，地址和电话号码）若发生紧急时间需要学校陪同孩子就医，请填写指定医院。Name紧急联系人：Relationship to child与孩子的关系：Telephone电话：Name紧急联系人：Relationship to child与孩子的关系：Telephone电话：Hospital指定医院：Telephone医院电话:Program Information课程选择Nursery Class Baby Class Little Class Middle Class Casa Class亲子班 小小班 小班 中班 大班Parents/Guardians Photos父母、监护人的照片Relationship Relationship Relationship Relationship关系 关系 关系 关系Childs Background Information 孩子的相关信息Native Language母语：Other Language(s)其他语言：Chinese Proficiency 汉语程度Fluent 流利Intermediate 一般Beginner 初学English Proficiency 英语程度Fluent流利Intermediate一般Beginner初学Dose you child have any medical conditions?Dabetes/多尿症，weak heart/心脏问题，asthma/哮喘，epilepsy/癫痫，请问你的孩子有所列病症吗？Has your child previously attended school?您的孩子之前上过学吗？Does your child have any food allergies? especially food您的孩子有事物过敏的现象吗？尤其是食物方面，请具体说明Describe your childs eating habits. List any special requirements.请描述您孩子的饮食习惯，是否有特殊要求，或不能食用的事物What is your childs usual sleep pattern(wake up, bed time,and nap time)您孩子通常的作息习惯是什么样子的？（起床的时间，睡觉的时间以及午睡的时间）Does your child have emergency insurance?您的孩子是否已经上了意外保险？Is there anything else you feel we should know about your child?关于您的孩子您认为我们还有哪些事情我们需要了解的吗？Describe any occurrences of childhood disea