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Clinton County Head Start
We are using this form to collect information so that we can call you to set up a time to get an application filled out for you child to be considered for our 24-25 preschool year!
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What is your first and last name?
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What is your child's first and last name?
Your answer
What is your child's age and birth date?
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What is a good phone number you can be reached at?
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What is your mailing address?
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