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

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