CACFP Household Income Eligibility Statement for all Enrolled Families & Participant Enrollment Form REV 07/2023)
This online form is a combination of the HEIS (Household Income Eligibility Statement & Participant Enrollment Form) This form must be completed by all Learning Zone Families.  

If you would like to complete the paper version and turn into Learning Zone please see the front desk or pint the forms here:




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