Meal Program Selection Form Head Start - Meal Selection Form Parent/Guardian Name:* Child's Name:* Head Start / CSPP / Early Head Start / Home Base location: Program Selection* Yes, I want to participate in meal distribution. (Sí, quiero participar en la distribución de comidas.) No, I do not want to participate in the meal distribution. (No, no quiero participar en la distribución de comidas.) I give my permission for Fresno EOC Head Start 0 to 5 to deliver meals to my home during the COVID-19 pandemic.*(Doy mi permiso para que Fresno EOC entregue comidas a mi hogar durante la pandemia Covid-19.) Yes / Sí Home Address:* CAPTCHA
