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Join our Great Start Shiawassee email list to receive the latest news and happenings about early childhood!

First Name  Last Name  

Email Address   City of Residence

Child 1 Date of Birth (MM/DD/YY)

Child 2 Date of Birth (MM/DD/YY)

Child 3 Date of Birth (MM/DD/YY)

*child's birthday is collected only for statistical purposes

            
 


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Click on image to download Welcome Edition of newsletterThis newsletter will be mailed to you every six months.  It will give you tips on parenting, immunizations, safety, developmental stages and community resources that are age appropriate based on your child's date of birth.

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Parent Information:
Parent First Name      
Parent Last Name

Address
City       State      Zip Code

Phone
Email address                                                                     

Child's Information:
Child #1 First Name
Child #1 Last Name
Birthdate (mm/dd/yy)                           Gender (M/F) 

Child #2 First Name
Child #2 Last Name
Birthdate (mm/dd/yy)                           
Gender (M/F) 


Child #3 First Name  

Child #3 Last Name
Birthdate (mm/dd/yy)                           Gender (M/F) 


Child #4 First Name  
Child #4 Last Name
Birthdate (mm/dd/yy)                           Gender (M/F) 


   

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