Colusa Family Resource Center Growing Start 2019-2020
Growing Start is a Parent Playgroup for children and parents/caregivers to participate in early learning activities, school readiness, and socialization with peers. This playgroup offers programming that is fun and engaging for children of all ages, as well as their parent/caregiver. We look forward to building relationships with you and your child/children this year!

Colusa County CAPC Family Resource Center
131 5th Street
Colusa, CA 95932
www.colusacapc.org

Contact us at 530.458.7678 or by email at cbowers@colusacapc.net
Child's Name *
Your answer
Child's Date of Birth *
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Parent's Name *
Your answer
Phone Number for Contact *
Your answer
Email Address for Contact *
Your answer
Which Site will your child be placed? *
Which Growing Start Class will your child be attending? *
Required
Is your child currently being served in Head Start, State Preschool, or a licensed Child Care facility? *
Is your child eligible for Transitional Kindergarten? *
Is your child up to date with immunizations? *
Will your child be entering Kindergarten in 2020? *
Dietary restrictions *
I understand that completing this online pre-registration form does not guarantee my child's slot in a Growing Start Program. I understand that I need to follow up with staff by calling, emailing, or coming into the FRC Office to complete registration packet. *
Required
I understand that Incomplete applications will not be processed and that I need to follow up with staff at the corresponding location to my child's Growing Start enrollment (Colusa, Princeton, or Stonyford), to ensure that my packet is complete, contains all required information, and is turned in. *
Required
I understand that I will need to provide the following information for a completed packet: *
Required
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