Corrections to Child Information

I HEREBY CERTIFY to the best of my knowledge that this information is true, correct, and in accordance with the terms of our existing agreement and that records are available to support this information. I understand that this information is being given in connection with the receipt of federal funds and that deliberate misrepresentation may subject me to prosecution under applicable state and federal criminal statutes.

To change a 1/1/2030 enrollment date, email Rita. For all other questions and changes not listed below, email Crestalee. Thank you!