General History Sample Clauses

General History. 1. Has your child had previous child care experiences? If yes, please list location(s) of previous child care experience:  Yes  No

General History. Has your child had previous child care experiences? If yes, please list location(s) of previous child care experience:  Yes  No ____________________________________________________________________________________________________________________________________ What is your child’s favorite toy? _________________________________________________________________________________________________________ What is your child’s favorite activity? ______________________________________________________________________________________________________ How do you comfort your child? (i.e. pacifier, blanket, hugs, toy) ________________________________________________________________________________ Health History Does your child seem healthy most of the time?  Yes  No Is your child taking any medication now? If yes, what? ________________________________ why? ________________  Yes  No In the past year, has your child had any ear infections?  Yes  No In the past year, has your child had any colds or sore throat infections with a fever?  Yes  No Has your child had trouble with his/her eyes or vision?  Yes  No What arrangements have you made for the care of your child should he/she become ill at the center? ___________________________________________________________ Does your child have any special needs that the staff should be aware of? Please attach a copy of your child IEP, if applicable.  Yes  No Is yes, explain: ________________________________________________________________________________________________________________ Does your child have, or ever had, other illnesses or diseases the staff should be aware of? If yes, list type, when and how treated.  Yes  No ____________________________________________________________________________________________________________________________________ Has your child ever been hospitalized? If yes, for what?  Yes  No __________________________________________________________________________ Has your child ever had any serious accidents or poisonings? If yes, list type, when and how treated.  Yes  No ____________________________________________________________________________________________________________________________________ Does your child have any food/environmental allergies, asthma or special food accommodations as determined by a physician  Yes  No OR preferences (such as personal preference or religious preference)  Yes  No If yes, please explain. _____________________________________________...

General History. The development of this area had its origin in the fur trade during the early history of French and British Canada. The lines of communication were by water from the Ottawa River drainage using the Montreal and Xxxxxxx Xxxxxx to reach northward into the Xxxxxx and Xxxxx Xxx by way of the Black and Fredrickhouse Rivers. Serious settlement of the Clay Belt began following the construction of the Temiskaming and Northern Ontario Railway from North Bay to Cochrane. The industrial and commercial development of this part of Ontario has resulted from two main sources: mining and forestry. Coincident with the beginning of settlement in this area, the discovery of gold in 1907 established the Xxxxxxxx Lake area as one of the major gold producing areas of the world. Actual logging history within the former Crown Management Unit (within which the landbase for this plan is located) began in 1907 with what was referred to as the Montreal River Concession. Sawlog material from the planning land base was also supplied to two other xxxxx – Kokotow Lumber Company Ltd. and the C.T. XxXxxxxx mill, both of which were located in Kenogami, on Xxxxxxx 00 xxxx xx Xxxxxxxx Xxxx.

General History. Why are you surrendering this dog? Please be as detailed as possible! How long have you had this dog? Including yours, how many homes has this dog had? Did this dog come from another rescue group or shelter? If yes, please name organization here: Yes No PERSONALITY AND BEHAVIOR Describe this dog’s personality on the scales below: Couch Potato Neutral Marathon Runner Independent Neutral Social Butterfly More Reserved Neutral Cuddlebug

General History. Why are you surrendering this cat? Please be as detailed as possible! How long have you had this cat? Including yours, how many homes has this cat had? Did this cat come from another rescue group or shelter? If yes, please name organization here: Yes No PERSONALITY AND BEHAVIOR Would you describe this cat as loud / talkative? Yes No Does this cat enjoy being held? Yes No Describe this cat’s personality on the scales below: Couch Potato Neutral Very Active Independent Neutral Social Butterfly Reserved Neutral Very Loving