Form - EscriboPLAY After saving your login and password, to learn how to download and use Escribo Play, access this page The given phone number already exists. If you forgot your login and password, please reach out to us. Your Name * Child name * Your phone number * Your Email Address * This email is invalid Please answer the demographic questions below to help us understand the effectiveness of the games for various populations. The answers will never be linked with your name or your child's name. What is your child’s gender? * Female Male How old is your child? * 3 year-old 4 year-old 5 year-old 6 year-old Is your child of Hispanic/Latino origin? Yes No What category below best describes your child’s race? * American Indian or Alaska Native White/European-American Multi-racial Asian/ Native Hawaiian or Pacific Islander Black/African-American Does your child have an Individualized Education Plan (IEP) or Individualized Family Service Plan (IFSP) for any challenge that influences his/her ability to participate in a general classroom? * Yes No Don’t know What languages does your child speak at home? (please check all that apply) * English Spanish Another language(s) What is the highest level of your education? Please mark ONLY one. * Less than high school, no GED High school diploma or GED Some college, but no degree Associate of Arts Degree (A.A.) Bachelor’s Degree (B.A/B.S.) Graduate school, but no degree Graduate degree (M.A./M.S.) Graduate/professional degree beyond a master’s degree What is your household’s annual income (for the year), counting all jobs, before taxes? * $ 5,000 or less $ 5,001 to $ 10,000 $ 10,001 to $ 15,000 $ 15,001 to $ 20,000 $ 20,001 to $ 25,000 $ 25,001 to $ 30,000 $ 30,001 to $ 35,000 $ 35,001 to $ 40,000 $ 40,001 to $ 50,000 $ 50,001 to $ 75,000 $ 75,001 or $ 100,000 $ 100,001 or more The name of the child care program your child is attending Submit
After saving your login and password, to learn how to download and use Escribo Play, access this page
The given phone number already exists. If you forgot your login and password, please reach out to us.
