DPS Head Start Enrollment Interest Form
Please provide the following information on for enrollment interest for the 2021-2022 School Year.  An enrollment specialist will connect with you to complete the enrollment process.
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Thank you for connecting with us regarding enrollment in our program for the upcoming school year.  Please indicate your preference: *
Name of primary caregiver *
Household size (all adults and all children) *
Address (verification of residency will be required later) *
Current Monthly Gross Income (documentation will be required later for enrollment) *
Language Preference *
Your Email Address
Phone Number *
Name and Date of Birth of child seeking enrollment. If multiple children, list all names and DOBs *
Do any of the following apply to you? *
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