Parents and Guardians Form - NEW LAYOUT - 2 steps Step 1 of 2 50% Step 1General Information:First Name* Last Name* Phone Number*Email* County Zip Code Preferred Method of Contact*Phone/Text/EmailPhoneTextEmailBest Time to Reach You*Select Morning/Afternoon/EveningMorningAfternoonEvening Step 2 What Programs or Resources are You Interested In? Are you looking for child care?* Yes No Our staff is here to help you find quality child care and early learning. Click Here to Email UsDo you need help with kindergarten readiness?* Yes No Enroll in SPARK to get started on your path to Kindergarten Readiness. Click Here to Enroll (a separate window will open). Please be sure to come back to this tab and finish the rest of the steps in this form.Are you interested in prenatal and child development support (Help Me Grow)?* Yes No Action For Children can help you apply for Help Me Grow: Click Here to Email Us Are you interested in assistance with employment/workforce?* Yes No Action For Children can assist you with Employment/Workforce: Click Here to Email Us Are you interested in parent education?* Yes No Action For Children can assist you with Parent Education: Click Here to Email Us Are you interested in Triple P?* Yes No Triple P Classes are positive parenting classes that will help you build a better relationship with your child.Learn more about Triple P: Click Here to Email Us Are you interested in our FatherUp programs?* Yes No Enroll in FatherUp to be empowered as a father. Click Here to Enroll (a separate window will open). Please be sure to come back to this tab and finish the rest of the steps in this form.Are you interested in our Mothers Matter programs?* Yes No Learn more about Mothers Matter: Click Here to Email Us
