Welcome! I’m glad you are here. This form helps me understand how your family prefers to communicate so I can keep you informed in a way that feels clear, comfortable, and consistent for you. Please take a few minutes to complete the information below.

Family Information

Child's full name:

Child’s preferred name (if different):

Pronunciation guidance (optional):

Parent/Guardian Name(s):

Important people in your child’s life (family members, caregivers, etc.):

Names I should use when referring to family members (e.g., Mom, Dad, Auntie, Nana, etc.):

Preferred way to address you (Mr., Ms., Dr., first name, etc.):

Primary Contact Information

Who should I contact first for everyday communication?

• Parent/Guardian 1

               Name:

               Phone(call/text):

               Email:

• Parent/Guardian 2

              Name:

              Phone(call/text):

              Email:

Both equally (please complete both above)

• Other

             Name:

             Phone(call/text):

             Email:

Communication Preferences

How would you like us to stay in touch? (check all that apply)

• In-person conversations
• Phone calls
• Text messages (if permitted)
• Email
• Program app / digital platform
• Written notes sent home

Best time to contact you:

• Morning
• Afternoon
• Evening
• Varies

Language & Accessibility

Preferred language for communication:

Do you need translation or interpretation support?

• No
• Yes (language):

Additional Notes

Is there anything else I should know about how your family prefers to communicate?