All About Me

To make your child feel even more welcome at Activetime, we would like to be able to talk about home as well as holiday camp. Please fill out the form and return with your booking form. Many Thanks!

Please would you let us know the following:

Child’s Full Name

Date of Birth

Age

Names and ages of any brothers and sisters:

Names and types of pets:

Special people in their lives eg .Grandparents aunts/uncles:

Personal, social and emotional Development

Is he/she used to being left without mum/dad? If yes with whom e.g – family or friends, babysitter, nursery/childcare?

Is there anything he/she particularly enjoys playing with?

Is there anything he/she is worried or frightened by?

Keyworker Comments

Communication, Language and Literacy

How does he/she communicate? eg. speech, sign language, communication aids etc…. What languages does your child speak?
Does he/she enjoy looking at books and being read stories?
Keyworker Comments

Problem solving, reasoning and Numeracy

Does he/she count using numbers? And up to what number? How do you do this with your child e.g – using blocks, games, toys or songs?
Is he/she beginning to use mathematical language such as big/small ,more/less, circle and square?
Does your child understand shapes and sizes?
Keyworker Comments

Knowledge and Understanding of the World

Does he/she enjoy exploring the local environment eg. playing in the garden or park, trips or outings? How often?
Has he/she explored a range of construction toys such as duplo, wooden blocks and train set? Do they enjoy them?
Keyworker Comments

Physical Development

Can he /she throw and kick a ball? How far? Which hand or foot?
Can he/she climbon a climbing framewith reasonable care and skill?
Keyworker Comments

Creative Development

Does he/she play in an imaginative way with friends and family? E.g Storytelling, role play?
Does he/she enjoy messy activities such as paint, sticking, sand, water? If no why do you think your child does not enjoy this?
Keyworker Comments

Is there anything else you would like us to knowthat would help your child settle into our setting?

Date Information was gathered on
Information was gathered by (enter staff name) And (Parent /carer name)
Child’s Key person is

Name of Child’s School/Nursery:
Address of School or Nursery:
Contact Number of School/ Nursery:
Contact Email of School/Nursery:

I Give permission for Activetime Children’s Activities Limited to contact the above School/Nursery to discuss my child to aid with planning.