HANAADLI F.A.C.E. PROGRAM
ENROLLMENT Documents
FACE PY22 Enrollment Form (Per adult)
FACE PY22 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)
Email enrollment documents to:
FACE@hanaadli.org
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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