Enroll Another Child in Head Start

Please submit this form only if you currently or have previously had a child in Utah Community Action’s Head Start program.

    Parent Name (required)

    Email Address (required)

    Phone Number (required)

    Child Name (required)

    Child Date of Birth (required)

    Child Age

    We assist income-eligible families with services including Adult Education, Case Management & Housing, HEAT, Head Start, Nutrition and Weatherization to help them achieve self-reliance.