Already enrolled? Access your profile, events, and available resources Existing Member Login "*" indicates required fields Member IDIt looks like you’re already registered. Click here to login.Username*Password* Enter Password Confirm Password Name* First Last Email* It looks like you’re already registered. Click here to login.Phone*Zip Code* ZIP Code I need help with:*Check all that apply. Food Stress/Mental Wellness Financial/Money/Housing Health Care Child Care/Transportation Afterschool Care/Transportation Pre-teen and/or High School Tutoring/Mentoring/Support/Transportation Other Select AllOther Help Consent to Photography*F.A.C.C.E.S has permission to use all images or likeness’ obtained during programs, events, and other activities for promotional purposes, unless otherwise expressed in writing by attendees. I agree to the publicity and media policy. Consent as Custodial Parent or Guardian*By submitting this application, I confirm I am the legal custodian or guardian of the child(ren) listed below. I give permission for my child(ren) to participate in activities and program I sign up for at F.A.C.C.E.S under my membership ID. I confirm I am the custodial parent or legal guardian. Consent to Liability Waiver*RELEASE AND WAIVER OF LIABILITYThe undersigned, for myself, my child(ren), or ward understands and acknowledges that play at FACCES entails both known and unknown risks including, but not limited to physical injury resulting from falling, slipping, crashing/colliding into another person, distress, damage, or death to any participant. In consideration of being permitted to participate at events held at FACCES, I hereby voluntarily and expressly release, indemnify, and forever discharge and hold harmless FACCES and its affiliated partners. I acknowledge and certify that I have had sufficient opportunity to read the foregoing Release and Waiver of Liability, that I understand its content, and that I execute it freely and without duress of any kind and agree to the terms therein. I agree to the FACCES release and waiver of liability policy. Subscribe to FACCES Family NewsSign me up for FACCES Family News. Subscribe me to the FACCES Family Newsletter Expecting a Child?*Are you expecting a child in the next 9 months? Yes No Baby Due Date*What is your expected due date? MM slash DD slash YYYY Click submit to continue registrationIt looks like you’re already registered. Click here to login.This field is hidden when viewing the formMy Children / Family Adult NameThis field is hidden when viewing the formMy Children / Child's NameThis field is hidden when viewing the formMy Children / GenderThis field is hidden when viewing the formMy Children / RaceThis field is hidden when viewing the formMy Children / Date of BirthThis field is hidden when viewing the formMy Children / Age GroupThis field is hidden when viewing the formMy Children / Early Learning ProgramThis field is hidden when viewing the formMy Children / Other ProgramThis field is hidden when viewing the formMy Children / Qualify for Free or Reduced Lunch?This field is hidden when viewing the formMy Children / School AttendedThis field is hidden when viewing the formMy Children / EmailThis field is hidden when viewing the formMy Children / PhoneThis field is hidden when viewing the formMy Children / New Goals Activity Plan CreatedThis field is hidden when viewing the formMy Children / Child's NameThis field is hidden when viewing the formMy Children / Areas of FocusThis field is hidden when viewing the formMy Children / FACCES Member IDThis field is hidden when viewing the formMy Children / Assignment #2 CompletedThis field is hidden when viewing the formMy Children / Assignment #3 CompletedThis field is hidden when viewing the formMy Children / Assignment #4 CompletedThis field is hidden when viewing the formMy Children / KRA Scores UploadedThis field is hidden when viewing the formMy Children / Enrolled in FACCES K Ready OhioThis field is hidden when viewing the formMy Children / CCB3 Enrolled SinceThis field is hidden when viewing the formMy Children / Incentives EarnedThis field is hidden when viewing the formMy Children / Eligible Incentive RewardThis field is hidden when viewing the formMy Children / Eligible IncentivesThis field is hidden when viewing the formCreated By (User Id)This field is hidden when viewing the formPost IdThis field is hidden when viewing the formPrinted NameThis field is hidden when viewing the formConsent to Share Information (Description)This field is hidden when viewing the formConsent to Share Information (Text)This field is hidden when viewing the formConsent to Share Information (Consent)This field is hidden when viewing the formPDF: FACCES Family MembershipThis field is hidden when viewing the formMy Children / Assignment #1 CompletedThis field is hidden when viewing the formMy Children / ASQ Completed Δ
