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2. The reason for my contact is:

   1. I want to give a compliment or complaint
   2. I have a question about enrolling a child
   3. I want to donate to or volunteer with Head Start
   4. I am trying to reach a staff person.
   5. I want to do something else.
4. Please write your comment below:
6. First Name:
7. Last Name:
9. Email address:
10. Phone Number:
12. Preferred Contact:

    1. Email
    2. Phone
    3. No response requested
14. Please allow us 5-7 business days to respond to your comment. Thank you for your input!
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16. 1. Receive an email copy of this form.
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