Enrollment - Coshocton County Head Start

Forms and Enrollment

Registration Documentation Needed

Below is a list of Early Head Start/Head Start Registration Documentation needed at time of registration.

Child's Shot Record
Child's Birth Certificate
Child's Social Security Card
Child's Insurance Card
Proof of Income

Proof of income must show last 12 months for each parent living in the home.
Any Court Documentation

Shared Parenting, Custody, Foster Care, etc.
Completed Forms

Please complete and submit the following forms (available to download and print from this page); Parent Authorization, Family Service Assessment, Child Health Nutrition, Dental, Childs Physical, and Development Mental Health.

Our Programs

Head Start is a Federal program providing Early Childhood Services to income and age eligible families at no expense to them.

News & Events

Stay up to date on all of the latest ongoings and upcoming events at Coshocton County Head Start.

Coshocton County Head Start, Inc.

©2022 Coshocton County Head Start, Inc.

Website design and development by Dotson Design Studio, LLC.

Coshocton County Head Start, Inc.

©2022 Coshocton County Head Start, Inc.

Website design and development by Dotson Design Studio, LLC.