中幼(香港)春晖幼儿园.docVIP

中幼(香港)春晖幼儿园 幼儿入园报名表 Enrollment Form窗体顶端 CHILD INFORMATION幼儿信息 Name in Chinese中文名字： Name in English英文名字：Surname Given Name Child’s photo 幼儿照片 Sex性 别 Boy □Girl Date of birth出生日期：Birth place 籍贯： Nationality 国籍： First language母 语：Second Language第二语言: Family address家庭详细住址： STUDENT BACKGROUND INFORMATION幼儿来园之前的情况第一次入园 First timer转园 Non first timer Previous Kindergarten来自何园 Enrollment date申请入园时间日期有无过敏食物、药物Food and drug allergy 是否需要乘坐校 Does the child need the school bus service? □ 1.需要，请在 停靠。 Yes, please stop at . □ 2.不需要。No, I don’t need. 孩子入园前主要由谁照看 Who took care of the kid before enter the kindergarten? □ 1.父母parents □ 2.爷爷、奶奶grandparents □ 3.保姆nanny □ 4.其他人others 孩子入园前是否上过幼儿园 Has your child gone to preschool/day care before? □ 1. 是，在 幼儿园。 Yes, he has been in kingdergarten before. □ 2. 没有。 No, he has not been in a preschool before. 孩子的体质 the child’s health condition □ 1.较强，较少生病. He/She has strong and seldom sick. □ 2.中等. Mediam □ 3.较弱，经常生病. He/She is weak and aften ill. 孩子的生活自理能力 the child’s self-care ability □ 1.会用勺子吃饭。He/She can use spoon dinner. □ 2.能自己大、小便。He/She can go toliet self. □ 3.有午睡习惯。He/She has naps habit. 孩子最喜欢的食物 Favoritfoods 最不喜欢的食物 disliked foods 孩子最喜欢的玩具 Favorit toy 孩子最擅长的事情 be good at 曾患疾病disease history □ 水痘 Measles □ 腮腺炎 mumps □ 麻疹chickenpox □ 百日咳pertussis □ 肝炎 hepatitis □ 细菌性痢疾shigellosis 其它 other ＿＿＿＿ EMERGENCY CONTACT 紧急情况联系表 Relationship称谓 Name姓名 Age年龄 Workplace工作单位 Tel电话 Parents or other authorized people must show their ID during the pick-up. 我们决定每天由家长或合法监护人接送孩子上下学，当我不能接送孩子时,我将会委托信任的人员负责我孩子的接送工作,并提供该人员的有效证件和信息给幼儿园。 Yes 同意 TERMS CONDITION 交费声明 Please tick the for