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Get LA Head Start Application - City of Baton Rouge 2013

Ck Address: Mother Asian Caucasian/White Father Grandparent Hispanic/Latino Other Other ______ Home Telephone #:_______________ Cell Phone#: ________________ City:________________________________________________________ State:_______________ Zip:_______ Place of Employment: ________________________________ Parent’s Martial Status: Single Married Divorced Work Phone: ________________________ Separated Child lives with? Mother Father Legal Guardian II. CHILD’S INFORMATION Chi.

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