Literacy Program Registration Form

Family Literacy Program

•The Family Literacy Program provides home and centre based activities that promote early literacy and social interaction skills for children.
•The goal of the program is to enhance early literacy experiences and social interaction skills of children aged 0 - 6 years, so they are better able to achieve success at home, school and community. We also work to strengthen and build basic literacy and American Sign Language skills of the parents through our lending library, literacy backpacks, and group programs.  If you are interested in hearing more about our programs please contact Marilyn Calkins mcalkins@connectsociety.org 

Program Selection
Parent / Guardian Information
Adults Attending Program Information
Adult 1 Attending Program
Adult 2 Attending Program
Child Attending Program Information
Siblings Attending Program
Sibling 1 Attending Program
Sibling 2 Attending Program
Sibling 3 Attending Program
Emergency Contact Information
Allergies / Medical Conditions