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Dear Parents,

For our take home activity next week (November 2nd and 4th) we would like to include your child’s
picture and first name in our child class book that will be sent home to each of the toddlers in our lab.
With your child at home you will be able to look through the book and point to each child and say their
name to help your child become more familiar with their peers in Toddler Lab.

Please fill out the following information. Mark yes if you feel comfortable with us including your child’s
picture and first name in our class book. Mark no if you do not feel comfortable including your child’s
picture and name. Thanks so much!

Parent’s name Child’s name Yes No Signature

1. ___________________ ____________________ ___ ___ ______________

2. ___________________ ____________________ ___ ___ ______________

3. ___________________ ____________________ ___ ___ ______________

4. ___________________ ____________________ ___ ___ ______________

5. ___________________ ____________________ ___ ___ ______________

6. ___________________ ____________________ ___ ___ ______________

7. ___________________ ____________________ ___ ___ ______________

8. ___________________ ____________________ ___ ___ ______________

9. ___________________ ____________________ ___ ___ ______________

10. ___________________ ____________________ ___ ___ ______________

11. ___________________ ____________________ ___ ___ ______________

12. ___________________ ____________________ ___ ___ ______________

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