Register for Our Program

To be eligible for our program, you must reside in Los Alamos County (Los Alamos, White Rock, or Bandelier National Monument). The program is designed for enrollment of new parents who are prenatal or within the first two months after birth. All families are welcome to apply, eligibility is not based on financial need. If space allows, we can accept families within the first 5 years of life or for a second child.

Referral Form.pdf

Interested in joining our program?
Email us at with your name and the best phone number to reach you.

You can also fill out the referral form (see on left). Fill out the first page as best you can and click on "Click here to SUBMIT" on the bottom right corner (underneath date). This will email the document to our staff. You can also save the pdf and email it to us at

Someone will contact you for the next steps.