Lowndes County BOE Head Start
P.O. Box 158
107 W Lafayette Street
Hayneville, AL 36040
Phone:334.548.2145
Fax:334.548.2021

Lowndes County BOE Early Head Start (ages 0-3) Survey

If you are in need of a safe place to take your child for child care services, let us know. We want to provide childcare services to the children zero to three (0-3) years old in Lowndes County. However, we need to know where they are. Please tell us what you need as soon as possible as we begin the planning stages.

Transportation will not be provided for Early Head Start.

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* 1. Parent's Name?

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* 2. Parent's Address?

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* 3. Parent's Phone Number?

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* 4. Child's Name?

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* 5. Child's birth date?

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* 6. Child's age?

0-1

1-2

2-3

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* 7. Would you be interested in?

Home-based Early Head Start

Center-based Early Head Start

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* 8. Will you be able to transport your child to school everyday?

Yes