Getting to Know My Child

Please feel free to share any information you have regarding your child. We strive for inclusion for each and every child and we work to the best of our ability to ensure your child receives an individualized program. Thank you!

Child's Name:*

First Name Last Name

DOB*

Month Day Year

Primary Contact*

First Name Last Name

Mobile Number*

E-mail*

School Name*

Grade at School*

Lamdeni Level

Level Day

Siblings?*

YesNo

How many boys, how many girls?*

Any special circumstances at home that we should be made aware of?*

YesNo

Please specify*

Does your child have any special learning needs?*

YesNo

Please choose*

Please specify*

Does your child require medication?*

YesNo

Please upload: Doctor diagnosis, any medical evidence/letter, or relevant information explaining your child’s diagnosis here

Hebrew spoken at home?*

YesNo

Describe your child and his/her personality:*

What are your child's strengths?*

What are your child's interests/activities they enjoy?*

What goals do you have for your child at Lamdeni?*

What motivates your child?*

What areas does your child require support:*

What can upset your child?*

Recommendations for Lamdeni in assisting your child in an event of your child becoming distressed:*

Describe how your child engages socially in play with others at different times of the day/different environments:*

Easily engage sociallyHas challenges engage socially

Please provide more information:*

Does your child settle into a new environment easily?*

YesNoNeeds assistance

Please explain:*

How important is it for your child to learn in a group vs one on one?*

Very importantNot essentialPrefer one on oneSocialisation

Can you child be violent?* (Please bear in mind if we are aware we can provide appropriate support vs not knowing and encountering a risk)

NoYes

What triggers this?*

Can you child be abscond?* (Please bear in mind if we are aware we can provide appropriate support vs not knowing and encountering a risk)

NoYes

What triggers this?*

Special Food restrictions / requirements (if any)*

Other specific suggestions for Lamdeni environment:*

How do you prefer we communicate with you regarding your child?*

EmailWhatsAppText messagesOWNA

Thank you so much for sharing with us some precious and important information about your child! It takes a village to raise a child, we are here as a community and family to do all we can to ensure your child has a productive and enjoyable Jewish learning experience at Lamdeni!

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