Parent/Guardian Interest Form

The Center for Early Success, lead organization for Ready Region Southside, is responsible for coordinating and integrating critical services and resources for families with young children. Our mission is to empower families to have a voice in state-level decisions affecting early care and education and help you, as parents/guardians, understand your choice in having access to quality childcare.

We need your voice to influence this critical work. Please take a moment to complete this interest form if you would like to find out more about joining our Quality Care Collaborative Facebook group or becoming a member of our Regional Family Council.

Parent/Guardian First & Last Name*

Race/Ethnicity: *

Age(s) of Child(ren): *

Relationship to child(ren): *

Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Home Phone: *

Please enter a valid phone number.

Cell Phone: *

Please enter a valid phone number.

Email:*

example@example.com

I am interested in the following:*

Opportunities that promote reading for my child(ren) at home:Locating community resources for childrenQuality Care Collaborative – This group of individuals convene on social media to encourage parents/guardians who care or advocate for children ages birth to five, to build caring, community connections, empower families to demand quality childcare, and guide the discussions concerning what matters most to the families and communities in our region!Joining our Family Council –Our mission is to champion quality child care by fostering an inclusive community that values the voices of parents and guardians, removes barriers to access, and creates meaningful opportunities for all families to engage in the development of early childhood policies and programs. We envision a Southside region where every family is empowered to shape early childhood education, ensuring that all children have equitable access to high-quality childcare and development programs.

Type of resources (select all you are interested in):*

Family Resource AssistanceTransition from childcare to kindergarten (contact information for school resources)Parent WorkshopsEarly Intervention (ex: social/emotional, developmental delays)

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