Countdown to Kindergarten
Request Form

Title Mr. Mrs. Ms. First Name Last Name Organization Address*   City **State, Zip AKALARAZCACOCTD.C.DEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWY    Email Address Telephone County Not in MD Allegany Anne Arundel Baltimore City Baltimore Calvert Caroline Carroll Cecil Charles Dorchester Frederick Garrett Harford Howard Kent Montgomery Prince George's Queen Anne's Saint Mary's Somerset Talbot Washington Wicomico Worcester Please select the one that best describes you or your organization: Elementary School Child Care Center or Private Preschool Family Child Care Home Family Support Program Child Care Resource Center Local Countdown to Kindergarten Initiative Local Health Department Local Department of Social Services Local Office of Child Care Library WIC Program Judy Center Head Start Program United Way Success by Six Program Infants and Toddlers Program YMCA or YWCA Program Higher Education Program Child Birth Class Local Management Board Child Care Trainer Faith Community Healthy Families Program Hospital Program Other Please send me these FREE materials: (specify quantities)   "Tips For Turning Everyday Activities into Learning Activities", an illustrated booklet  Spanish Version -"Tips" "Consejos Para Que Las Actividades Cotidianas Sean También Educativas"     Please describe how the materials will be distributed and to whom. "Tips for Turning Everyday Activities into Learning Activities" is available in 15 additional languages.  Click here to view downloadable files. Countdown to Kindergarten is building a statewide network of parents and professionals interested in promoting early learning and school readiness. Participants in the network will receive occasional updates on parenting information, state and local events, legislative issues, etc. Please click below to indicate if you'd like to be a part of this network.  Yes, I'd like to receive updates from Countdown to Kindergarten. (Please provide an email address, if possible.)  No, please do not send me updates about Countdown to Kindergarten, etc.     * We cannot ship to PO Boxes **NOTE: At this time we only have enough books to distribute to young children in Maryland. If you are not from Maryland, we will send you one book for you to use as a resource. You can also feel free to download the text from our website. Maryland Committee For Children respects your right to keep your personal information personal. Your name, address, and email address will not be distributed or sold to anyone under any circumstance. You will receive mail or email only from the Countdown to Kindergarten campaign.   CTK Homepage | Links to Early Learning Resources |Overview of the Campaign Link to MSDE School Readiness Reports | School Readiness Resource List | Talking Points | Tips for Learning Activities