Ninth Annual Urban Native Education Conference:

Registration Form

Age

Can we contact you about future CAICC events?

Waiver

  1. I hereby voluntarily release, forever discharge the community, the corporation, its officers, directors, employees, volunteer and agents from any and all claims, demands, or causes of action, which are connected with my child's participation in the programs or the use of the equipment and facilities.
  2. I agree to pay for any and all medical expenses incurred and give permission to the doctor or health care professional to provide medical care if necessary.
  3. The information I've given in this form is complete and accurate. By submitting this form, I confirm that I have fully informed myself of the contents of this Parental Consent and Release Form by reading it before I signed it. I warrant that I possess all the rights, powers, and privileges of a parent or legal guardian necessary to execute this document with binding legal effect.

5 + 13 =