Early Head Start Family Child Care

Enroll Your Child Today!

Documents needed for enrollment appointment

Early Head Start Intake Checklist:

Sign Forms

Fill out Early Head Start application below

Documents needed for child:

Birth Certifcate

Immunization Card

Physical Exam

Dental Exam

Medical Insurance

Hearing Screening

Vision Screening

Documents needed for parent:

Subsidy Letter / Foster Care Letter

(if applicable)

6 Consecutive Bi-weekly paystubs

(12 if paid weekly)

Proof of Address / Living Arrangement

Copy of Parent's ID

No Income Verification Form

(if applicable)

Authorization of third party

(if applicable)

Print & Complete Application Below

Please ensure that every student's registration packet includes this checklist and all of the following items in the order below:

In addition, the following documents are needed:

Pre-Kindergarten Integrated Data System (Pre-KIDS) Enrollment Page Printout

(from the online Vendor Portal)

Proof of Birth

(child's birth certificate or passport)

Two Verifiable Proofs of Address

(see Chancellor's Regulation A101)

NYCEEC Full Day Registration Form

Housing Questionaire

Parent Affidavit of Residency

(if applicable, found in Vendor Portal)
- Must attach copy of lease and one other proof of residency

Pre-K Home Language Needs Survey

The following items do not need to be included in the registration packet sent to the DECE, but are to be kept on site at your program

CH-205 Child & Adolescent Health Examination Form

Photo Release Form

Students living in temporary housing have a right to immediate enrollment in a Pre-K for All program, even without enrollment documents. Please see the NYCEEC Policy Handbook for more information.

Call now for an Appointment

To schedule an appointment, please call between 9am and 5:30pm, Monday thru Friday. *Covid Precautions Required

Katiusca Tirado

FCC Network Coordinator / CACFP Program Director

Early Head Start Family
Child Care Partnership

391 East 149th Street, Suite 615
Bronx, NY 10455

Blondell Joyner
Day Care Center

909 Tinton Ave. Bronx, NY 10456

Hablamos Español.

Five Star
Early Learn Center

3261 3rd Avenue Bronx, NY 10456

Hablamos Español.


For Gwendolyn Bland & Blondell Joyner:

For Five Star: