RedTide: Indigenous Youth Climate Connect Sign up form.
If you would like to be apart of this new and amazing Climate Action program. Please answer the following questions, and print out and sign the liability form attached. Signed liability forms will be collected on the first day of the program.
* Required
Email address
*
Your email
Are you able to participate in the Climate Connect Program? (August 19th - 22nd, 10 am - 5pm)
*
Yes
No
Other:
Name
*
First and last name
Your answer
Age
*
Your answer
Email
*
Your answer
Phone number
*
Your answer
City/Band Nation/Territory
Your answer
Name (Parent/Guardian)
First and last name
Your answer
Email (Parent/Guardian)
Your answer
Phone number (Parent/Guardian)
Your answer
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