Virtual Gingerbread Building Contest

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Brought to you by partnership of Urban Food Security, LLC., Ms. Alyce West & Parents Engaging Parents. Bringing in the holiday cheer with a VIRTUAL GINGERBREAD BUILDING CONTEST. Fun Prizes for children! Register each child who is participating below!! After registration an email and ZOOM Link will be shared! Remember to carefully enter your information below to receive more information!!

Email *

Parent First Name *

Parent Last Name *

Address *

City *

Zip Code *

Is your family involved in early childhood programs? if so please list below the ones you are currently engaged with, including but not limited to, state preschool programs, Head Start, Home Visiting, SNAP, and WIC. ( Ex: Head Start, Family Success and Program for Parents) *

Child's First, Last Name & Age *

Child's First Name Last Name & Age

Child's First Name Last Name & Age *List for 5 or more children*

In weekly virtual engagements over three months, Parents Engaging Parents will actively support these 5 to 7 community's residents during this crisis by providing a safe and accessible venue to build community relationships through sharing experiences, stories, structure and actions. The weekly engagements will serve as “Mental Health Check-Ins”, by which PEP Parent Champions will discuss how the crisis has impacted them, their families and their households. PEP Parent Champions will discuss ways to promote self-wellness for the parents, and share strategies on how to better support their children, families and community during these times. Will you be interested in continuing our relationship of engagement? *

Yes, lets build this "Beloved Community" together.

I am not interested at this time.

no, not at all, yet thank you for the resources.

Are you interested in receiving more information about future engagements from PEP and PEP affiliates?

Yes

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This Photo/Story Release Form and any disputes relating to it or the Materials shall be governed by the laws of the State of New Jersey, United States of America, and shall be resolved within the State of Pennsylvania. I as Parents Engaging Parents, anyone working for it or on its behalf, and any sub-licensees, from any and all liability, claims, and causes of action that I might have against it arising out of the recording and/or use of such Materials PHOTO/STORY RELEASE FORM (CHILD)   *

We thank you in advance! Allowing us to capture photos and share stories is crucial to the success and expansion of this important mission.I am authorized to grant the rights provided in this Photo/Story Release Form. I WARRANT THAT I AM 18 YEARS OF AGE OR OLDER AND FULLY UNDERSTAND THE CONTENTS OF THIS RELEASE OR THAT IF I AM A MINOR, THAT MY PARENT(S) OR LEGAL GUARDIAN(S) HAVE SIGNED BELOW.

No. Unfortunately you will not be allowed to participate in this event as it will be recorded. We will contact you for future events where your privacy can be upheld.

Do you grant to Parents Engaging Parents permission, with respect to the video recordings, sound recordings, film, photographs, biographical information, and/or images (collectively “Materials”) that Parents Engaging Parents and/or its agents have taken of me. All the permissions and releases that I grant shall be effective throughout the world and apply to Parents Engaging Parents and its employees, volunteers, sub-licensees, and agents? *

Yes

No (Because this event is recorded you will not permitted to participate at this time to ensure your privacy.)

Please Share any Questions or Comments here! *

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