Stop by 152 West Lehigh Avenue, Philadelphia, PA 19133. and ask for our Family Advocates!

For more information email our Director of Education: Rachel Camacho

Child's Information

Player First Name *

Player Last Name *

Gender *

Boy

Girl

Date of Birth * +

Street Address *

City *

State *

Zip Code *

School Information

Select Program. Early Head Start is for ages 1-3 and Head Start is for ages 3-5. *

Early Head Start (Ages 1-2

Head Start (Ages 3-5)

Please help us track statistics so that we can better serve our community,

Do you qualify for free or reduced school lunch? *

Yes

Are you interested in the Food For Families Program? *

Yes

Parent/Legal Guardian Information

First Name *

Last Name *

Phone Number *

Email Address *

Additional Parent/Legal Guardian Information

First Name

Last Name

Phone Number

Email Address

Required Documents: Early Head Start Ages 1-2

EARLY HEAD START AGES 1-2 The Documents listed below are required to enroll your child. Please CHECK OFF all Documents you already have. A Family Worker will contact you to set up an enrollment appoint.

Required Documents: Head Start Ages 3-5

Report abuse

The Lehigh Building
152 West Lehigh Ave.
Philadelphia, PA 19133