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CHILD AND ADULT CARE FOOD PROGRAM (CA CFP)
HEAD START ENROLLMENT FORM
CHILD INFORMATION
1. Child's Name:Date of Birth:2. Normal Days in
Attendance:SundayMondayTuesdayWednesday3. Head Start Facilities
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How to fill out head start enrollment form

How to fill out head start enrollment form
01
To fill out the Head Start enrollment form, follow these steps:
02
Start by providing personal information such as the child's name, date of birth, gender, and contact information.
03
Provide information about any disabilities or special needs the child may have.
04
Fill in details about the child's race, ethnicity, and primary language spoken at home.
05
Provide information about the child's primary healthcare provider and dental provider.
06
Indicate the child's current school or daycare placement, if applicable.
07
Answer questions about the child's family, including household income and employment status of parents or guardians.
08
Provide consent for the program to obtain necessary medical and dental information for the child.
09
Complete any additional required sections or forms as specified by the Head Start program.
10
Review the completed form for accuracy and sign it.
11
Submit the filled-out enrollment form to the Head Start program for processing.
Who needs head start enrollment form?
01
The Head Start enrollment form is required for parents or guardians who wish to enroll their child in the Head Start program. Head Start is a federally funded program that provides comprehensive early childhood education, health, nutrition, and parent involvement services to low-income families with children from birth to age five.
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What is head start enrollment form?
The Head Start enrollment form is a document used to apply for enrollment in the Head Start program, which provides early childhood education, health, nutrition, and parent involvement services to low-income children and their families.
Who is required to file head start enrollment form?
Families with children who are eligible for the Head Start program are required to file the Head Start enrollment form to enroll their child.
How to fill out head start enrollment form?
To fill out the Head Start enrollment form, provide personal information about the child and family, including names, addresses, contact information, and household income details, and submit any required documentation.
What is the purpose of head start enrollment form?
The purpose of the Head Start enrollment form is to collect necessary information about families and their children to determine eligibility and to enroll them in the program.
What information must be reported on head start enrollment form?
The Head Start enrollment form requires information such as the child's name, age, date of birth, family income, household size, and any special needs or services required.
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