Application will not be complete until we have proof of income. For enrollment purposes, I understand that RWCFS Head Start/Early Head Start may need to coordinate programming with my local school district, WI Shot Registry, other home visitation programs, and/or daycare providers for transportation, placement, 4K registration, and scheduling.
By signing, I verify that I am the parent/legal guardian of this child and that the information provided is correct and complete to the best of my knowledge.
I further understand that if I knowingly provide false information, that my family may no longer be eligible for further services.

(When both parents live in the home, then both should sign whenever possible)