Family income is the income of the biological parent(s) / adoptive parent(s) or guardian(s) living in the household. For enrollment purposes, I understand that RWCFS Head Start-Early Head Start may need to coordinate programming with my local school district, and other home visitation programs for placement.
By signing, I verify 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)