Child Pre-Registration Form

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We’re excited to support you and your children!

To get started, we need to determine if you’re eligible for our Head Start or Early Head Start early learning and child care programs.

What sets us apart is our two-generational approach that builds family well-being by simultaneously working with children and the adults in their lives to access new resources, solve problems and sharpen existing skills. We have Family Support Specialists, Home Visitors and Coaches ready to partner with you on this journey.

In most cases, families must earn 100% of the Federal Poverty Level or less. Children experiencing homelessness or who are in foster or kinship care also are eligible. In some cases, children with disabilities may qualify.

Don’t assume your family doesn’t qualify! You may be surprised!

If you qualify, you may continue receiving our services once you’re enrolled EVEN if your income increases until your child is no longer age-eligible for their program.

Complete the short questionnaire below, and we’ll notify you about your eligibility via email and text. If you don’t hear from us within 5 business days, please call 937-2EN-ROLL [937-236-7655].

Miami Valley Child Development Centers, Inc. offers more than 50 center locations in Clark, Madison, & Montgomery Counties (Ohio).

Convenient program hours fit most families’ work & school schedules.

HEAD START FULL DAY (ages 3-5 years)

  • 6 to 10 hours per day, Monday through Friday

    • Parents must be working or in school in order to enroll children in a full day classroom

    • For 10 hour care, parents must apply for Child Care Benefits through the JFS childcare unit

  • Open to children ages 3-5

  • Services are free to qualifying families, though parents receiving Publicly Funded Child Care may have a small co-payment

  • Transportation is available at select centers

HEAD START PART DAY (ages 3-5 years)

  • Monday through Thursday

  • 3.5-hour sessions, morning or afternoon

  • Centers are open about 152 days each year

  • Limited transportation is available

EARLY HEAD START (ages birth to 3 years)

  • Full day, comprehensive program

  • Ages birth to 3 years

  • Pregnant mothers are also eligible for services

HOME-BASED CARE

  • Designed to allow you and your child to work with our home visitors

  • A home visitor will visit your home for 1.5 hours each week for up to 32 weeks

  • Group socialization held twice monthly

Complete this pre-registration form and one of our family-representatives will contact you with more details about our Head Start and Early Head Start programs. We are looking forward to speaking with you!

  • Please only complete this pre-registration form ONE TIME in order to have your information in our system.

  • If you have completed an application in the past or need assistance completing this form, please call (937) 236-7655.

Parent/Guardian

Address

Housing Situation

If a person does not have permanent housing (who may be living on the streets, staying in a shelter, a mission, individual room facilities, an abandoned building or vehicle, or is in any other non-permanent situation) then he or she can qualify as homeless.

It can also be considered that a person has no home if that person is "doubled up", a term that refers to a situation in which people can not maintain their housing situation and are forced to stay with a number of friends and / or members of the extended family.

Click here to find a provider in your area.

Additional Parent/Guardian

Family Information

What is your relationship to the child(ren) for whom you are applying?

Child (Applicant)

Enter the details for your child(ren) under the age of 5 years old in your household for which you would like to apply:

Location Preferences
- Your Address - Available Locations
Click a location on the map to see more info
Click here to find a provider in your area.

Additional Applicant

Do you want to apply now for another child in your family?

Add Another Applicant
Thank you for your interest in our Head Start/Early Head Start Program. This PRE-application is meant to determine possible eligibility for Head Start or Early Head Start programs. If it looks like your child will qualify, you will be contacted by an Intake Specialist to complete the next step in the registration process.
Required information is missing, see above.