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Are you becoming a parent?
Would you like some extra support?

Do you have a baby or toddler?
Would you like to make your family stronger?

Are you interested in FREE preschool?
Would you like your child to be prepared for Kindergarten?

Do you have a school-aged child or teenager?
Would you like to help them develop skills to meet the challenges of school?

We can do all of this for you. Just submit this form and we'll get back to you right away. Thank you for visiting our web site.

The information you submit will be kept confidential.

Client Information

Do you have children:   Yes No

If yes, how old are they:

Do you currently have a job?:   Yes No

Do you currently have housing?:   Yes No

Do you currently have a medical card?:   Yes No


Which program are you interested in? (check all that apply)

Family Foundations (learn more)
Transitions Counseling (learn more)
Head Start (learn more)
Early Head Start (learn more)
I don’t know

My family needs: (check all that apply)

Advice on raising babies, toddlers or preschoolers
Free Preschool
Counseling for family, school, or community issues

Is there anything else that you would like us to know?

 

Thank you for your interest in strengthening your family through us. We will contact you soon.