Legacy of Literacy Circle Registration

About the Program The Legacy of Literacy Circles is a free 12-week program for parents and caregivers of children ages birth–3. Together we explore the Six Loving Habits — Speak, Sing, Read, Play, Count, and Serve & Return — simple, everyday ways to support your child's early brain development, language, and bond with you. Each session includes books, parenting tools, and family resources, plus support like childcare, meals, and transportation so you can fully participate. 

Bottom Line We  know parenting is hard and can be lonely at times - frustrating. These tools help you navigate and learn how to balance life demands and parenting! 

We are the community you and your family deserve. 

Registration Ready to learn more or join? Complete the short form below to register your family. Spots are limited and offered first-come, first-served. After you register, we'll reach out with cohort dates, location, and everything you need to get started. Questions? Contact us at jess@gift-connect.org or (302) 588-3569

Next Steps: You will be contacted by our team to provide details regarding next program start date. 

Sign in to Google to save your progress. Learn more
During our program you will receive access to the Parenting Suite- a tool that supports parents and families through fun, storytelling, songs, and supportive services to provide families with resources to thrive.             (click below to learn more) 
Parent or Caregiver Full Name 

*
Residential Address 
Zip Code  *
Emergency Contact *
Occupation  *

What language (s) are spoken at home? 
*
Email Address  *
What is your preferred method of communication?  *
Which child age group are you registering for the program? *
Please select the support services you would be interested in utilizing during the program: *
Required
We can provide childcare for children up to 6th grade; please tell us if you plan to utilize this service.  (If yes, please provide further details below)  *
Please provide NAME AND AGE of the school age children:  
What school district do you attend or plan to attend?   (n/a if does not apply)  *
Is your baby/toddler enrolled in a traditional childcare program? *
Are you interested in learning more about quality childcare programs?  *
At times we offer virtual programming. Would this be something of interest to your family? 
Clear selection
What is your program day preference?  Dinner will be provided for all evening sessions.   *
Which location would you like to attend for the Legacy of Literacy program?”
*
Would you like to attend the program offered in Spanish?
*
Do you or your children have any food restrictions?  If so, please indicate below.  *
Do you have any current concerns regarding your child's development? *
Photo & Video Consent I give Gift Connect permission to photograph and record me and my family during program activities and understand these may be used for marketing purposes. I understand no compensation will be provided.   *
How did you hear about the Legacy of Literacy Circles program? *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Connect Universe.

Does this form look suspicious? Report