ENROLL MY CHILD!

ENROLL MY CHILD!

Enroll my child in Head Start or Early Head Start!

Enrollment Screening Form

This form will help us determine your eligibility for enrollment in Head Start.

Child's Name(Required)
Child's Birth Date(Required)
Address
Parent's Name(Required)
Parent's Name
Your Email Address
How would you like us to contact you?(Required)
What is your source of income?(Required)
Are you experiencing homelessness?(Required)
Are you receiving Food Stamps (SNAP)?(Required)
This field is for validation purposes and should be left unchanged.

If you are still awaiting your baby’s arrival, you may use the Expectant Mothers application form.

Send this form to:

Enrollment Specialist
Early Education Services

130 Birge Street
Brattleboro, VT 05301

Do you have low income? Are you on Reach Up? Are you homeless? Do you receive SSI?

If you said yes to any of these and you live in Windham County you could qualify for free or low-cost child care at our Parent Child Center! 

If you are interested, please complete and return this Pre-Screening Eligibility Questionnaire (PDF).

Enroll my child in Head Start or Early Head Start!

Click on the Online Enrollment button below to fill out an Enrollment Application form online! Alternatively, you can download a PDF version of the form.  If you are still awaiting your baby’s arrival, you may use the Expectant Mothers application form.

Send these forms to:

Enrollment Specialist
Early Education Services

130 Birge Street
Brattleboro, VT 05301

Click on the Online Enrollment button below to fill out an Enrollment Application form online! Alternatively, you can download a PDF version of the form.  If you are still awaiting your baby’s arrival, you may use the Expectant Mothers application form.

Send these forms to:

Enrollment Specialist
Early Education Services

130 Birge Street
Brattleboro, VT 05301

Do you have low income? Are you on Reach Up? Are you homeless? Do you receive SSI?

If you said yes to any of these and you live in Windham County you could qualify for free or low-cost child care at our Parent Child Center! 

If you are interested, please complete and return this Pre-Screening Eligibility Questionnaire (PDF).