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EASTERN OREGON HEAD START Child Release and Emergency Contact Format Completed: / / Date of Birth: / / Child Name: Nickname: First-class Parent/Guardian Name: Parent/Guardian Name: Street Address:
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What is EASTERN OREGON HEAD START Form?

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Eastern Oregon Head Start is a program that provides comprehensive early childhood education, health, nutrition, and parent involvement services to low-income children and their families in Eastern Oregon.
Families with children who meet the eligibility criteria for the program are required to file for Eastern Oregon Head Start.
To fill out Eastern Oregon Head Start, families must complete an application form and provide documentation to verify eligibility.
The purpose of Eastern Oregon Head Start is to promote school readiness and provide support services to low-income children and their families.
Information such as household income, family size, and child's age must be reported on Eastern Oregon Head Start.
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