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Infant Care Instruction Sheet – Boerne
Infant Care Instruction Sheet - Boerne
FOR THE MONTH OF:
*
January
February
March
April
May
June
July
August
September
October
November
December
Classroom
*
Infants- 6 Weeks to 5 Months
Infants- 6 Months to 11 Months
Child's Name
*
First
Last
Child's Date of Birth
*
MM
DD
YYYY
Type of Formula/Breast Milk (Be Specific)
*
Feeding Interval Every:
*
2 Hours
3 Hours
4 Hours
5 Hours
On Demand
Quantity to Feed
*
2 Ounces
3 Ounces
4 Ounces
5 Ounces
6 Ounces
7 Ounces
8 Ounces
Temperature of Bottle
*
Cold
Room Temp
Warm
Wake Infant to Feed
*
Yes
No
Type of Juice
Type of Water
Type of Cereal
Method of Feeding Cereal
In Bottle
In Bowl
In Bowl With Formula
Breakfast
Fruit - Half Jar
Fruit - Full Jar
Vegetables - Half Jar
Vegetables - Full Jar
Cereal per Instructions
AppleTree Provided Food
Please check all that apply.
Lunch
Fruit - Half Jar
Fruit - Full Jar
Vegetables - Half Jar
Vegetables - Full Jar
Meat or Entree Meal - Half Jar or Half Serving
Meat or Entree Meal - Full Jar or Full Serving
Cereal per Instructions
AppleTree Provided Food
Please check all that apply.
Snack - AM
Fruit - Half Jar
Fruit - Full Jar
Cereal per Instructions
AppleTree Provided Food
Parent Provided Food
Please check all that apply.
Snack - PM
Fruit - Half Jar
Fruit - Full Jar
Vegetables - Half Jar
Vegetables - Full Jar
Meat or Entree Meal - Half Jar or Half Serving
Meat or Entree Meal - Full Jar or Full Serving
Cereal per Instructions
AppleTree Provided Food
Parent Provided Food
Please check all that apply.
Known Allergies
Food
Skin
Other
Description of Allergies
Diaper Ointment Used
Face Ointment Used
Handling of Dirty Clothes
Wash at AppleTree
Send Home to be Laundered
Other Helpful Information
Parent's Name
*
First
Last
Date Submitted
*
MM
DD
YYYY
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