RedTide: Indigenous Youth Climate Connect Sign up form.

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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.

Email *

Are you able to participate in the Climate Connect Program? (August 19th - 22nd, 10 am - 5pm) *

Yes

Other:

Name *

First and last name

Age *

Email *

Phone number *

City/Band Nation/Territory

Name (Parent/Guardian)

First and last name

Email (Parent/Guardian)

Phone number (Parent/Guardian)

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