Please complete this information about the child's primary parent or guardian.
The primary adult is
*The Head Start/Early Head Start child's mother or father
*Another family member who is a primary caregiver
*Foster parent or authorized caregiver, guardian or the person with whom the child has been placed with for purposes of adoption pending a final adoption decree
If the primary adult is not listed on the birth certificate, please be prepared to provide documentation showing guardianship.