FY20 ECAF Family Registration/Survey
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Email *
Today's Date
MM
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SECTION A:  REGISTRATION
Please provide some basic information to help us get to know you better and to support you in your parenting journey. If you have completed Section A before and nothing has changed, please skip to Section B. Thank you!
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: FALL/SPRING SURVEY
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, Passport to Parenting Family Education Workshops, Dads & Donuts, "Celebration of Young Children" annual event, recipient of resources & referrals to other programs)
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.
Clear selection
A copy of your responses will be emailed to the address you provided.
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