Your local Children & Families Centre would love to meet you! H.A.R.O For more information check out the Facebook page www.facebook.com/harrowcc

Preferred method of contact (please tick as appropriate) Yes I would like my local Children’s Centre to contact me with information about the services that they offer Parent /Carers full name: Full address: Postcode: Contact number: Email address: Preferred method of contact (please tick as appropriate) Telephone Email Post Name of professional; Landline number: Mobile number: Email address:; Reference number if available -

All about my child/children Child’s name: Male Female Date of Birth: Special Educational Needs; Child’s name: Male Female Date of Birth: Special Educational Needs; Child’s name: Male Female Date of Birth: Special Educational Needs; Child’s name: Male Female Date of Birth: Special Educational Needs;

For children’s centre use Centre staff member making contact - Date contact was made: Contacted by; Date of contact Services sign posted to/advice given Did they attend? Follow up phone call, date and response