2026 Back to school Registration

Child 5 Age:

By Clicking Yes, you hereby agree to authorize Catholic Social Service to inquire about your residency, public benefits, and income with the Guam Mayor's Council, Department of Public Health & Social Services, or other agency for qualification. *

Yes, I agree

Must submit current Mayor's Verification, DPHSS certification or (1) most recent check stub of all employed household members. Attachments must be legible and clear in order to proceed with your application.

Child 3 Name

Relationship to Child/Children: *

Mother

Father

Legal Guardian

Please list any additional children's name, age, and school here.

Mailing Address *

Child 1 School: *

Child 3 School:

Email: *

Child 1 Age: *

Child 1 Name *

Child 4 Age:

Child 3 Age:

Child 2 Name

Child 5 Name

Phone *

Application is only for children who are enrolled in school. Headstart students may require proof of registration.

Applications are also available at our Main Office behind Revenue and Tax in Barrigada. Please bring a valid ID for registering and all required documents.

For more information please call 671-635-1442 or email info@cssguam.org.

Household monthly Income ($) *

Applicant name: *

Total Number of Children applying for *

Upload Mayor's Verification *