ENROLLMENT FORMS 
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FACE PY23 Enrollment Form (Per adult)
FACE PY23 ENROLLMENT FORM (PER child)
Emergency contact information (pER CHILD)
​Child health Record (Per Child)
Media release form (Per Individual)
​COPY of Birth Certificate (Per individual)
​COPY of Social Security Card (PER INDIVIDUAL)
COPY of CIB/Tribal Enrollment (PER INDIVIDUAL)
COpy of ​Medicaid Card (if available, PER INDIVIDUAL)

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Email enrollment documents to:
FACE@hanaadli.org

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Turn in HARD COPIES:

By calling the school to schedule an appt. to meet in the front office at:
​505-960-3411

OR, 

By mailing documents to the school at (SEND COPIES, NO ORIGINALS): 
Hanaadli FACE Program
​PO Box 639 
Bloomfield, NM 87413

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Why face?

FACE PY23 Enrollment Form

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Links for Completing
A Fillable & Non-fillable PDF Form:

Mac & Windows Adobe Reader

pdf escape pdf editor

Android Adobe Reader Mobile App

Android adobe fill and sign Mobile App

Apple Adobe Reader Mobile App

apple Adobe Fill and Sign Mobile App

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