Early Childhood Services Information Form Formulario de información de servicios para la primera infancia

Hello! Please fill out this form and Help Me Grow will send you information regarding Tehama County Early Childhood Services, Home Visiting Services, Preschool, and other resources. Thank you for your interest!

*Please Note: Help Me Grow Tehama is a program of the Tehama County Department of Education funded by First 5 Tehama.  The information you provide will not be shared outside of these agencies without your consent.

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Email *
Parent/Caregiver First and Last Name.  Nombre y apellido
Address (Street, City, Zip). Dirección (dirección, ciudad, código postal)
Phone number (Please indicate if text is okay). Número de teléfono (indique si quiere recibir texto)
What is your preferred language? Cual es tu idioma preferido?
Clear selection
Relationship to child. Relación con el Niño
Clear selection
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