Skip to content
Home
About BJE
Educators
Leadership
Join BJE-ECC
Parent Ambassador Program
Our Programs
Northbrook
Wilmette
Camp BJE
Contact BJE
Events
Create an account
Log-in
My account
JUF Right Start
Forms
Enroll your child
Cart
0
Navigation Menu
Navigation Menu
Home
About BJE
Educators
Leadership
Join BJE-ECC
Parent Ambassador Program
Our Programs
Northbrook
Wilmette
Camp BJE
Contact BJE
Events
Create an account
Log-in
My account
JUF Right Start
Forms
Enroll your child
Getting to know your child
RM_Stats
Registration
Birth information
Health/Behavior
Confirmation
Email
*
Username
*
Password
*
Password must be at least 7 characters long.
Enter password again
*
Password must be at least 7 characters long.
Your first name
Your last name
Have you registered more than 1 child?
No
Yes
For which child is this form?
Select an option
1
2
3
Child's first name
Child's last name
Child's birthday
Child's first name
Child's last name
Child's birthday
Child's first name
Child's last name
Child's birthday
Please share with us any specific information regarding the way in which your child entered/joined your family (Adoption, surrogacy, delivery experiences, prematurity, foster care, etc), as well as birth weight and any complications we need to be aware of
Is your child aware of their way of joining your family?
Yes
No
Please tell us more about this
Does your child have any known allergies?
No
Yes
What are they?
How does the allergy manifest itself?
Describe the treatment for the allergic reaction
Is your child on medication?
No
Yes
What is it and when is it given?
Did your child have any developmental delays from birth until now?
No
Yes
Please describe
Did your child receive any services during this time?
No
Yes
Please describe
Does your child receive support services (speech therapy, physical therapy, occupational therapy, etc)?
No
Yes
What are the services, and from what agency?
Has your child:
Had their vision tested?
Had their hearing tested?
Had their speech tested?
Been to a dentist?
Has your child had any serious injuries?
No
Yes
Please share details
At what time does your child get up in the morning?
At what time does your child go to bed at night?
Does your child sleep well?
No
Yes
Please describe
Does your child have any toileting issues (constipation, prone to diaper rash)?
No
Yes
Please describe
Please give a statement of your child's overall health. Please include any dates for surgeries, hospital stays, etc
Does your child have any special fears we should be aware of?
No
Yes
Please describe
How do you handle your child's behavior of which you disapprove?
In what ways does your child show they are upset (e.g. withdraw, hit, cry, etc)?
Please describe the things your family likes to do together
Is there anything else you feel we should know about your child or your special attitude towards parenting?
Please confirm that this form is complete
Confirmed
Note: It looks like JavaScript is disabled in your browser. Some elements of this form may require JavaScript to work properly. If you have trouble submitting the form, try enabling JavaScript momentarily and resubmit. JavaScript settings are usually found in Browser Settings or Browser Developer menu.