Math in the Mail 2019-20 Enrollment Form
Math in the Mail is a FREE* program that focuses on developing math skills in three-year-olds, by providing the tools needed for parents, guardians, and other caregivers. Children receive 6 boxes in the mail that include a book, manipulatives and a guide for adults with suggested activities to help children build their foundational math skills. Children are playing to learn, and learning to love math!

To qualify to receive Math in the Mail for FREE*, families must:
•Live in Arenac, Bay, Clare, Gladwin, Gratiot, Isabella, Midland or Saginaw county (Michigan)
•Have a child in the household born September 1, 2015 through September 1, 2016
•Have a household income that is at or below 250% of the federal poverty guidelines (found at https://www.michigan.gov/documents/mde/GSRP_Income_Eligibility_Guidelines_020817-ADA_551180_7.pdf)

*Math in the Mail is available by subscription for families who do not qualify for the free program. Visit https://www.mathinthemail.org/subscribe.html#/ for more information on the subscription option.

Qualifying families can expect to start receiving Math in the Mail kits September 2019.
Child's Last Name *
Your answer
Child's First Name *
Your answer
Child's Birthday (must be born 9/1/15 - 9/1/16 to qualify to receive kits this year) *
MM
/
DD
/
YYYY
Parent's Name *
Your answer
Parent's Email *
Your answer
Parent's Phone Number *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Zip Code *
Your answer
The Math in the Mail kits come in boxes. If a kit doesn't fit into your mailbox, is there another place the mail carrier could leave it? (For example, many people direct USPS to leave boxes at their door or with the apartment building office.) Please note: if no direction is given and a kit doesn't fit into your mailbox, the mail carrier will leave a note for you and you may have to go to the local post office to pick up the kit. *
Your answer
County *
Address to mail kits to (if different than above):
Your answer
What is your child's primary language? *
Your answer
How did you hear about Math in the Mail? *
Required
Children entering a Head Start or GSRP four-year-old preschool program will be assessed at the beginning of the school year. This assessment information can be used to gauge the effectiveness of the Math in the Mail program and to help secure further funding for the program. The Family Educational Rights and Privacy Act (FERPA) requires consent from parents/guardians to access each child's assessment information. Information about the Family Educational Rights and Privacy Act (FERPA) can be found at www2.ed.gov/policy/gen/guid/fpco/ferpa/index.html *
I am the legal parent/guardian of the child named above. [Please type your first and last name below, to be used as your signature.]
Your answer
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