Contact us
317-803-3803
Attendance Hotline
317-217-1415

English Enrollment Pre-Form

Please fill out the information below.

Do you need an interpreter for your appointment?
IEP or IFSP? Does your child have an Individual Education Plan (IEP) or Individualized Family Service Plan (IFSP)?
Does your child have a sibling currently attending in Head Start/Early Head Start?
Is the Parent/Guardian of the child enrolling currently working or in school?
If two-parent family, are both Parents/Guardians of the child enrolling currently working or in school?
Does anyone in the family received one of the following: TANF, SNAP, or SSI benefits?
Is family currently homeless?
If the child enrolling currently placed in foster care?

Child's Information

Child's Name(Required)
MM slash DD slash YYYY
Address(Required)

Primary Parent's Information

Parent/Guardian Name(Required)
MM slash DD slash YYYY
Address(Required)
This field is for validation purposes and should be left unchanged.

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About FDS

Family Development Services improves the lives of children by providing free, high-quality early childhood education and comprehensive family focused services. FDS serves more than 2,500 children and infants each year from 10 centers in Indianapolis and Noblesville, IN.

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ADMINISTRATIVE OFFICES

3637 N. Meridian Street Indianapolis, IN 46208 317-803-3803

ATTENDANCE HOTLINE

317-217-1415

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