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Want more information about the Denver Great Kids Head Start program? Complete this form and we'll help you get set up!
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1.
Ages of the children you'd like to enroll?
(Required.)
Child 1:
Child 2:
Child 3:
Child 4:
Child 5:
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2.
Please provide us with your contact information.
(Required.)
First Name:
Last Name:
Email:
Physical Address (including city, state and zip code):
Phone Number:
Phone Number (alternate):
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3.
What's the best way to reach you?
(Required.)
Give me a call
Send me an email
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4.
Which program would you like to connect with and learn more about?
(Required.)
Early Head Start (children ages 0 to 3)
Head Start (children 3 to 5)
Both
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5.
How'd you hear about the Denver Great Kids Head Start program (mark all that apply)?
(Required.)
Another Head Start Family
Bright by Text
Church
Denver City Council Newsletter
Denver Great Kids Head Start Website
Denver Housing Authority
Denver Human Services
Doctor's Office
Email from Denver Parks and Recreation
Facebook
Grocery Store
Instagram
Mail Delivered to My House
Next-door
Other (please specify)
