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Harley's House Parent Consent Form
Harley's House Parent Consent Form
We are glad you contacted us for help!  Please fill out the following information and we'll be in touch.
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Harley's House Parent Consent Form
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    We are glad you contacted us for help! The mission of Harley’s House is to strengthen families by providing support and childcare to families in Western Oklahoma with young children.

    Acceptance into Harley’s House will be made on a case by case basis, based on minimum criteria and Board of Director(s) Approval.*

    Eligibility for program:

    • Oklahoma Resident
    • Child(ren)/Siblings age 0-4 years and/or pregnant
    • Child(ren) currently lives with you
    • Willing to meet with Board of Directors

    *Applications will be reviewed and are subject to renewal or termination after 7 day use of free childcare.

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    Total # of children needing help
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    INCLUDING CHILDREN NEEDING ASSISTANCE
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