Child's Name *

First Name

Last Name

Child's Date of Birth *

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Parent's Name *

First Name

Last Name

Follow Prime's Potty-Training routines.

Understand the signs of being ready to potty train.

Child wears loose-fitting clothing (easy to pull up and down)

Provide the school with a minimum of 3 changes of clothing.

No overalls, onesies, or T-shirts with snaps between the legs

Positive reinforcement must be continued at home.

Wearing Underwear *

Children cannot start wearing panties or underwear until the teacher has discussed the transition with the parent.

The parent must have started successfully potty training at home and agree to the above Rules.

Toilet Learning Readiness *

Verbal Stages of Readiness.

The child is able to speak in three or four-word sentences.

The child tells you he/she has a wet diaper and recognizes when he/she is wet.

The child tells you he/she is wet and recognizes the sensation of being wet.

The child tells you he/she is wet and can use the potty.

Physical Psychological Signs of Readiness *

Stays dry for a long time.

Can recognize when the pull-up is soiled or wet.

Have bowel movements at regular times.

Can undress and pull up your own pants.

Initiates in using the toilet and asks to wear underwear.

Wants to be independent.

Child is emotionally ready and is open to learning.

Can follow 1-2 step directions.

Can use consistent words or gestures to communicate.

Is able to physically get to the potty and sit on it without help.

Today's Date *

MM

DD

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