Sealaska Heritage Institute 2017 Summer Youth Programs Application and Registration
All applications are time stamped and selections will be made on a first come first served basis.

Find more information about the summer camps or academies for youth 4-12 by following the link below:
http://www.sealaskaheritage.org/institute/education/programs

Student's Last Name
Your answer
Student's First Name
Your answer
Mailing Address
Your answer
City/Town
Your answer
Zip Code
Your answer
School currently enrolled in
Your answer
Student's Age
Your answer
Date of Birth
MM
/
DD
/
YYYY
Gender
My student is from the following community:
Required
Tribal Affliliation
Required
Degree of Indian Blood
Your answer
I am a lineal descendant of:
Shareholder (First and Last Name)
Your answer
Who is a shareholder of :
Who is my:
Emergency Contact #1
Full Name
Your answer
Relationship to Student
Father, Mother, Step-Mother, Step-Father, Grandparent, Guardian, etc...
Your answer
Phone Number
Your answer
Email Address
Your answer
Mailing Address
Your answer
Work Number
Your answer
Emergency Contact #2
Full Name
Your answer
Relationship to Student
Father, Mother, Step-Mother, Step-Father, Grandparent, Guardian, etc...
Your answer
Phone Number
Your answer
Mailing Address
Your answer
Work Number
Your answer
Email Address
Your answer
Has your student participated in other Sealaska Heritage programs?
If yes please list programs below
Your answer
Please list the heritage languages your student studies and their level of progiciency.
Beginner
Intermediate
Advanced
No previous experience/instruction
Lingít
X̱aad Kíl
Sm'algya̱x
For the 2017-18 school year my student is in grade
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