Enroll Today - Lower Sioux Early Head Start and Head Start

Enrollment Process

To begin the enrollment process in the Center-Based or Home-Based Programs, fill out the form below. Our staff will then send you an application to complete. Read the application carefully and do not send original documents other than the application.

Documents needed to enroll

Child's Birth Certificate
Child's Immunization Record
Certificate of Degree Indian Blood
Verification of Parent's/Guardian's Income

Begin the Enrollment Process

Name*
First Last
Phone*
Email*
Address*
Street Address Address Line 2 City State ZIP Code
Preferred method of contact:*
- Phone
- E-mail
- Mail
Number of children you wish to enroll:*
Age of child #1 at time of enrollment:*
Age of child #2 at time of enrollment:
Age of other children at time of enrollment:
Questions or comments: