Create an Account / Crear Una Cuenta

Waiver

Please review the TCS Waiver Form (bit.ly/tcswaiver), and check this box to acknowledge that you agree to the waiver. / Revise el formulario de exención de TCS (bit.ly/tcswaiver) y marque esta casilla para reconocer que acepta la exención. *

I agree. / Estoy de acuerdo.

Community Guidelines

All participants in The Children's Storefront Program must follow our Community Guidelines. Failure to do so may result in your family being asked to leave. Please check this box to acknowledge that you understand and agree. / Todos los participantes del programa The Children's Storefront deben cumplir con nuestras Normas comunitarias. Si no lo hace, se le puede pedir a su familia que se retire. Marque esta casilla para confirmar que comprende y acepta. *

I agree. / Estoy de acuerdo.

Your Contact Information

First Name *

Last Name *

Email *

Household Member Type *

Phone *

Address Line 1 *

Address Line 2

City *

State/Province *

Zip/Postal Code *

Country

Your Company/Employer

Your Job Title

Demographic Data

We ask for demographic data because it helps us to better understand the community we serve and ensure that our program is having a positive impact on all families.

Please indicate your gender. / Por favor indique su género. *

Please indicate your race. Select any and all with which you identify. *

American Indian or Alaska Native

Asian or Asian American

Black or African American

Hispanic, Latino, Latina, or Latine

Middle Eastern or Northern African

Native Hawaiian or Pacific Islander

White, Caucasian, or European

Another option not listed here.

I prefer not to answer this question.

What is your total household income? *

How many people are part of your household? *

What is the primary language that you speak at home? *

How many children are you the parent or guardian of? *

Create a company account (Families, please do not check this!)

Final Questions

Is there any other information you’d like to share with us?

How did you hear about us?