Children’s Council Developmental Playgroups - Application Form

Children’s Council invites families to join a free playgroup, designed primarily for children aged birth to three years who have mild to moderate disabilities, learning differences, and/or complex medical needs, along with the parents and caregivers who care for them. Our playgroups are small, supporting approximately 6 children per session, and are held three times per week. 

 

Each family or caregiver will attend one facilitated playgroup per week for three months. These sessions are specifically designed to address your child's unique needs and goals, providing personalized support and opportunities for growth.  

 

With the guidance of a trained early child care specialist, parents and caregivers will learn effective strategies for engaging in play and supporting their child's development, fostering a nurturing environment for both children and their families. 

 

Please help us understand more about your child and family, and how we can best support you. 

 

Reach out to Saeda Fuller if you have any questions:  

sfuller@childrenscouncil.org 

(415) 797-1638 

Adult Caregiver Information (Adult(s) who will be attending program with child) 











If you are not the child’s parent/guardian, please provide their contact information below:





Child(ren) Participant Information



The following questions are designed to help us tailor our program to better meet your child's developmental needs. Your responses will be kept confidential and shared only with program staff involved in your child's care. By completing this questionnaire, you consent to the collection and use of this information as outlined. 
Program Participation and Child’s Developmental Needs








We are offering three playgroup session options. Please rank the sessions in order of your preferred dates and time. 

Thank you for your interest in participating in Developmental Playgroups with Children’s Council! A staff member will contact you to discuss the next steps. If you have questions, please email sfuller@childrenscouncil.org