Mini Gann Questionnaire - The Shul of Bellaire

Number of child/ren attending*

Child 1 Name*

First Name Last Name

Child 2 Name*

First Name Last Name

Child 3 Name*

First Name Last Name

Child 4 Name*

First Name Last Name

Child 5 Name*

First Name Last Name

Does your child nap or have 'quiet time' during the day? What time is their downtime? (approx) *

Is your child toilet trained? How independent are they with toileting? *

(5 year old only) Would your child be able to participate in walking to the pool at Bellaire Aquatic Center on M,W & F's? Would you prefer they stay and do outdoor waterplay with the Mini Gan at camp? Please specify their level of skill and comfort with swimming:

Is there anything else you would like us to know about your child/ren?