FY21 ECAF Family Registration/Survey
All program participants are asked to complete this survey in the beginning and end of each program year.  This information helps us in program planning and development.  Thank you for taking 5 minutes of your time to answer the following questions!
Sign in to Google to save your progress. Learn more
Email *
SECTION A:  REGISTRATION
Please provide some basic information in Section A and Section B helps us get to know you better in order to support you in your parenting journey.  Thank you!
Clear selection
Parent Last Name *
Child's First Name *
Parent First Name *
Phone #
E-mail address
Street Address *
Zip Code *
5 digits only
Child Gender *
Child Date of Birth *
MM/DD/YY example June 8, 2012 is 06/08/12
Number of Children under 6 that live in your home? *
How did you learn about the  ECAF/CFCE program? *
Required
Who will take the child(ren) to the ECAF/CFCE program?
Primary Languages spoken at home
Please check all that apply
How do you prefer to access your information?
Please check all that apply
SECTION B:  SURVEY (14 Questions)
Thank you for answering the questions below. There are no right or wrong answers. Your honest input helps us improve the quality of the programs we offer to children and families.
How well do you understand your child's development and behavior? *
(e.g. Understanding Ages& Stages, Challenging Behavior, Age Appropriate Expectations & Activities)
Do you have age appropriate reading materials readily available for your child(ren) in your home? *
(e.g. magazines, children's books)
How often does your child(ren) look at books with you or on their own? *
How often does your child(ren) look at digital media? (TV, I Phone, I Pad, video games, computer) *
Which of the following happened the last time you looked at a book with your child(ren): *
Please check all that apply
Required
Do you have a place to go "play, learn, and grow" together with your child? *
Please check all that apply
Required
Do you have people to talk to or places to go that feel supportive and helpful to you in your role as a parent? *
(e.g. parent-child playgroup? family/friends/neighbors nearby? faith community?
Are you familiar with the following information pertaining to early childhood?
Check all that apply.
Do you know where to go for helpful resources and referrals for the following? *
Please check all that apply
Required
Are you familiar with Mass 2-1-1 Resource and Referral Line?
Clear selection
Currently or in the past with this child or another child, have you participated in any of our ECAF sponsored programs?
(e.g. Play, Learn, and Grow Together, ParentChild+ Home Visitation Program, Passport to Parenting Family Education Workshops, Dads, Donuts, & Discoveries, "Celebration of Young Children" annual event, recipient of resources & referrals to other programs).  If so, please identify what program under other.
Clear selection
Photo/Video Release: *
I give permission for ECAF staff to use any photographs and/or video recordings that they might take of me and my child(ren) for educational/promotional purposes.
Contact Information Release: *
I give permission to be a part of the Family, Friends and Neighbors E Mail Distribution to receive announcements and updates. Your e-mail is NOT shared with others on the list.
Waiver of Liability:
All participants in the Framingham Public Schools Early Childhood Alliance  (ECAF) “Play, Learn & Grow Program” agree to supervise their children at all times and assume complete responsibility for the well being of their children. All participants agree to fully exonerate, indemnify and hold harmless the Town of Framingham, the Framingham Public Schools, the ECAF from and against all claims or actions and all expenses and costs incidental to the defense of any claims or actions based upon or arising out of damage or injury to persons caused by or sustained in connection with activities at the center.  I understand and agree to the above waiver of liability.  I understand that I and my child(ren) are using the facilities at our own risk and accept that I am solely responsible for the safety of  the child(ren) in my care while at the ECAF activities. COVID19 practices are required during all programs as outlined by the Center for Disease Control, Department of Early Education and Care, City of Framingham Departments (School, Library, Home Visits etc) and are strictly enforced until otherwise advised.
Would you like to learn more about the ParentChild+ Home Visitation Program for families with children at time of enrollment who are between 16-36 months old.? The program is free and each week you receive a gift of a book or toy over 23 weeks each program year.  The program is a voluntary two year commitment.  We are now offering virtual visits with educational material drop off at your home prior to the ZOOM, Facetime, Whats App, Google Meet, or another social media platform that works for you and your early learning specialist. To learn more, provide us with your name, phone, email address, and, name and age of child. We will contact you over the summer to see if this program is a good match for you.  
Clear selection
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This form was created inside of Framingham Public Schools. Report Abuse
Google Forms