Application and Informed Consent for LENA Start Groups

By filling out and signing this form, you are applying to participate in parent group sessions sponsored by National Center for Families Learning (NCFL). LENA Start is intended to help improve your child’s language development. If you participate, you must agree to certain things that are outlined below. Please fill out this form carefully and read completely before you sign at the end. Because this is a voluntary program, you may choose to discontinue your participation in the parent groups at any time for any reason.
NOTE: The child’s parent or legal guardian must sign this form. If the primary caregiver applying is not the parent or legal guardian, both must sign this form. All information is required in order to apply and participate.