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Get MD HCPSS Learning Progress Form 2016

Hool can be found using school locator at https://hcpss2.securesites.net/SchoolLocator/index.jsp Child has IEP Child has IFSP Parent/Guardian #1 Name: Last First Parent/Guardian #2 Name: Last First Language(s) Spoken at Home: Completed by: (Your Name): Date: Program Name: Program Phone Number: ( / / ) Program Address: City: State: Type of Program: Head Start Child Care Center Zip: Family Child Care Parental Consent Form* Signed to release this information? Yes *(File Consent Fo.

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