CSDNB Family Resource Center Interest Form, 2025-2026 School Year
Our FRCs are staffed by our incredible Family School Liaisons who host Play and Learns to foster child development and support parents and families with children ages birth-four.

Starting in October, our FRCs will offer in-person Play and Learns on Tuesdays from 9:30-11:00 AM for children ages birth to four. FRC rooms will open at 9AM for open play and sign-in before the Play and Learn programming begins at 9:30 AM.

Sessions will feature stories, puzzles, singing, pretend play, painting, and more! These activities will support your child's development in several areas including fine motor, cognitive concepts, number awareness, shapes, colors, and seasons. 

Join us for the chance to help your child learn through play, receive parenting and child development information, and meet other families.

To register and receive a calendar of events and other helpful information, please complete this form!
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Email *
1. What is your name?  (Please include correct spelling of first and last name.) *
2. What is your primary phone number? *
3. What is your mailing address? *
4. What is your primary language? *
5. What is your child's name? (Please include correct spelling of first and last name.) *
6. What is your child's date of birth?
 *
7. What is your child's gender?
 *
8. What is your child's race: *
9. What is your child's ethnicity:
 *
The following questions pertain to your child's health information and records. Please note, no child will be turned down from participating if you answer "no" to any of the questions. 
10. Does your child have health insurance? *
11. Is your child fully immunized? *
12. Is your child up to date with their dental check-ups? *

13. Does your child have any allergies?

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14. Does your child have special needs or restrictions on activities?
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If yes, please explain:
15. Do you give consent for CSDNB to use photographs and/or video taken of your child in District publications, news releases, online, and in other communications related to the FRC program? *
16. Are you interested in learning more about other resources CSDNB Family Resource Centers can offer? *
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