Head Start Program Registration

The Volunteers of America Children’s Center has grown into one of the largest providers of PreKindergarten programming within the city of Rochester, and serves more than 500 children and families on an annual basis. Please call Stacy Jo Healy, Family Services Manager, at 402-7228 if you have any questions about enrollment.

First Name *

Last Name *
Email Address *
Birthday*
Gender*
Phone Number*
Race*
Hispanic
English Proficiency*
Any other languages?
Street 1 *

Street 2
City *

State/Province *

Zip/Postal Code *
Is your family experiencing homelessness?*
Child (Applicant) Name*
Child (Applicant) Birthday*
Child (Applicant) Gender*
Child (Applicant) Race*
Hispanic*
Does your child have a disability or do you have any concerns about your child's development?*
Is there anything else you want to tell us about your child?
Which program are you applying for?*
I have another applicant I'd like to add
I have another applicant I'd like to add
Additional Applicant's Name
Additional Applicant's Birthday
Additional Applicant's Gender
Additional Applicant's Race
Hispanic
Does your child have a disability or do you have any concerns about your child's development?
Is there anything else you want to tell us about your child?