Fall 2022: ECAF Family Registration & November Sign Up Form for New Families (continuing families only complete the sign up if participating in an additional or different group) 
All program participants are asked to complete this Registration Form at the time of enrollment.  This information helps us to plan and design programs that consider and respond to ALL families' strengths and needs. Sign up is also required to gain acces to any LIVE Google Meet group offerings, control group size, and assess ages of children. All group programs are subject to change as we review the information provided on this form.

THE MAJORITY OF GROUPS ARE HELD AT THE FRAMINGHAM PUBLIC LIBRARY IN THE CHILDREN'S DEPARTMENT'S EARLY LEARNING ZONE, 49 LEXINGTON STREET UNLESS OTHERWISE INDICATED.

We want to remind you that the groups are a perfect opportunity to connect with others.  Often times, new friendships are born at the ECAF group activities. We hope by "playing, learning, and growing together" you will find new friendships from what you all have in common ---- young children and the experience of parenting during the early years.  

Thank you for taking 5 minutes of your time to sign up and answer the following questions!
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Email *
PLAY, LEARN, AND GROW TOGETHER (PLGT) GROUP SIGN UP (CHECK 1 OR MORE)
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REGISTRATION QUESTIONS
Please provide some basic information to help us get to know you better and support you in your parenting journey.  Thank you!
Date *
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Parent(s) Name *
Parent(s) Name
Child(ren)'s Name *
Child(ren)'s Name
Child(ren)'s Name
Phone # *
Street Address *
Zip Code *
5 digits only
Child(ren)'s Date of Birth *
MM/DD/YY example June 8, 2012 is 06/08/12
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Child(ren)'s Date of Birth
MM/DD/YY example June 8, 2012 is 06/08/12
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Child(ren)'s Date of Birth
MM/DD/YY example June 8, 2012 is 06/08/12
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Number of Children under 6 that live in your home?
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How did you learn about the  ECAF/CFCE program?
Who will participant with your child(ren) at 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
How well do you understand your child's development and behavior? *
(e.g. Understanding Ages& Stages, Challenging Behavior, Age Appropriate Expectations & Activities)
In a typical week, how many days does the participant adult read or tell stories with the participant child?
 *
In a typical week, how many days does the participant adult sing songs with the participant child?
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In a typical week, how many days does the participant adult play with the participant child?
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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?
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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, Let's Go to Kindergarten, PJ Family Storytime, StoryWalk, ParentChild+ Home Visitation Program, Passport to Parenting Family Education Workshops, Dads, Donuts, & Discoveries, Yoga, "Celebration of Young Children" annual event, recipient of resources & referrals to other programs).  If so, please identify what program under other.
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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.
Google Meet Participation Release: *
I agree to participating in virtual groups and/or home visits and grant permission for ECAF staff to send me the link to join in such activities.  Participants and ECAF staff  honor confidentiality and privacy policies during these activities.
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. Remember to find the Early Childhood Alliance of Framingham on Facebook where we share program and resource information, subscribe to our Strengthening Families Newsletter, or visit our website!
Waiver of Liability:
All participants in the Framingham Public Schools Early Childhood Alliance  (ECAF) “Play, Learn & Grow Together” and ParentChild+ home visitation programs 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 City 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, including virtual platforms, 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.  To learn more, provide us with your name, phone, email address, and, name and age of child.  
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Would you like to learn more about the Early Childhood Alliance of Framingham Leadership Council? The ECAF Leadership Council provides opportunities for families and community partners to meet quarterly to discuss and address early childhood strengths and challenges and determine priorities through this collaboration.
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THANK YOU!
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