Enrollment Application

Click on the file folder below to download the PDF file. You may print the application or save it for later printing. Once you've filled out the form, return it with required attachments to:

Head Start Child Development Council
2451 Country Club Blvd.
Stockton  CA  95204

Required attachments: 1.) Copy of most recent Tax Return; 2.) Copy of child's Birth Certificate; 3.) Copy of child's Immunization Record (Yellow Shot Record).

Download PDF file

Enrollment application in PDF format. Requires Adobe Acrobat Reader.

Get Acrobat Reader

Go to the Adobe web site and download the free Acrobat Reader if you need it.