Rooted in Respect Camp Registration Form
Join our youth-led camp and learn from Indigenous and Non-Indigenous teachers about different aspects of local food systems and how food is used as medicine by local nations.

Activities may include: collaborative discussion, harvesting seasonal foods, making bannok, jam, and more!

We'll learn and share perspectives about the history of violence and present day realities of colonization and how it has impacted the lands and bodies of Indigenous peoples and everyone living in these territories.

We'll work together to design creative social actions that work to end colonial violence and create respectful relationships with each other and the land.

Sign up and be part of this amazing project that will create youth-led change in our community!

Your answer
Name you like to go by:
Your answer
Your answer
(eg: boy, girl, Two Spirit, trans, genderqueer, etc.)
Your answer
Contact Info
Your answer
What part of town will you be coming from? (This helps us plan transportation support)
Your answer
Phone number:
Your answer
Do you prefer email, phone calls, or texts?
Your answer
Emergency Contact Information
Name and Phone Number:
Your answer
Contacts Relationship to You
Your answer
In preparation for the Rooted in Respect Day Camp, we'd like to get to know you a little bit. Have fun with these questions, and feel free to get in touch with us if you have questions!
Are you interested to check out...?
(Check as many as you want)
Why are you excited about being a part of Rooted in Respect?
(What do you hope to get out of it?)
Your answer
What is something you want to see change in your community?
Your answer
Rooted in Respect hopes to bring folks of all cultures and backgrounds together to learn about these lands! Let us know where you come from so we can make this as relevant as possible to you and where you come from!
Your answer
Please let us know if you have any allergies or dietary restrictions.
Are there any foods you don't eat? If you are allergic to anything, do you carry medication for your allergy?
Your answer
Anything else you want to tell us about?
(anything, really.)
Your answer
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms
Google Forms