All About Me Form

Our online forms make submitting essential documents and information quick and secure, saving you the hassle of paper forms. Let’s work together for a greener environment and enjoy the benefits of our digital enrolment process. However, if you need a paper copy of any information or forms, you’re welcome to email michael.c@chorleymayfield.lancs.sch.uk.

All About Your Child

Name(Required)

First Last

What does your child enjoy the most? For instance, what are their favourite TV shows, do they like playing outdoors, are they fond of trains or do they prefer using their iPads, or are they into music?(Required)

Does your child have any dislikes? For example, do they dislike surprises, loud noises, busy environments, or being cold?(Required)

How does your child communicate? This can include gestures, eye contact, vocalisations, single words, short sentences, signing (such as Makaton or Sign-a-long), PECS, and objects of reference.(Required)

What level of personal care does your child need? (Adult support with toilet use, independent toilet use, complete reliance on adults, or doubly incontinent)(Required)

What are your child's medical needs? This may include conditions such as epilepsy, asthma, mic-key button, catheterisation, or NG feeding(Required)

Does your child have any mobility needs? (fully ambulant, uses a walking frame, or has a wheelchair)(Required)

Does your child have any sensory needs? If so, are you currently implementing any techniques or methods to cater to the sensory needs of your child?(Required)

If your child is feeling anxious, angry, or upset, what behaviours can we expect to see? What steps can we take to support them?(Required)

Does your child have a consistent bedtime routine?(Required)

Does your child wake during the night?(Required)

Would you like to provide any additional information? Please feel free to share any relevant details that you think may be beneficial for us to know.(Required)

Consent

Name of the person filling out this form(Required)

First Last

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