№ files_lp_4_process_2_44951
Structured form for enrolling children in Head Start/Early Head Start programs, listing required personal, health, and income information for processing applications.
Year: 2026
Region / City: West Las Vegas, New Mexico, USA
Type of Document: Enrollment Application Form
Institution: West Las Vegas Head Start/Early Head Start
Contact: Montezuma Street School Office, Tony Serna Site, Early Childhood Center (ECC)
Required Documents: Birth Certificate, Immunization Record, Proof of Insurance, Physical Exam, Dental Exam, Income Verification
Target Audience: Parents or guardians of children eligible for Head Start/Early Head Start programs
Application Period: Ongoing for 2026 enrollment
Child Information: Name, Date of Birth, Age, Gender, Race, Ethnicity, Primary Language, English Fluency
Guardian Information: Name, Contact Information, Employment Status, Military Service
Health Coverage: Yes/No for Primary Health and Dental Coverage
Price: 8 / 10 USD
The file will be delivered to the email address provided at checkout within 12 hours.

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