Enrollment Application Process
If you meet the eligibility requirements listed above, you can apply for enrollment in this program by clicking the link below.

You will need to provide the child’s proof of birth date, proof of your household income, the child’s immunization record and proof of your current employment and/or school or training schedule.  Upon acceptance into the program, physical and dental examinations will be required and a Health History must be provided.  Printed enrollment application forms are available at our offices.

Application Forms:

Click here for an application in English

Click here for an application in Spanish