Cora's Kids Application 2020
Thank you for your interest in the Cora's Kids 2020 program. Please fill out this entire application and click submit when complete. Cora's Kids is for Native children ages 8-12.

The application deadline is April 1st, 2020.
Notifications will be sent out via email and mail the last week of April.

Please complete all parts of the application. Incomplete applications may not be considered for summer programs.



There are two sessions for Cora's Kids. The fist session is June 9-12 (Tuesday-Friday) and the second session is June 22-25 (Monday-Thursday)

Program runs 9am – 3pm.

PICK UP/DROP OFF LOCATIONS - Youth will choose one

Little Earth of United Tribes main office 2501 Cedar Ave S Minneapolis 55404
Pickup- 8:00am Dropoff- 4:00pm

American Indian Family Center 579 Wells Street St Paul MN 55430
Pickup 8:30am Dropoff 3:30pm


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Child's Name *
Your answer
Age *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Gender Identity *
Your answer
Tribal Affiliation *
Your answer
Reservation/Homelands *
Your answer
Qualify for free/reduced lunch? *
Required
Legal Guardian Name(s) *
Your answer
Legal Guardian Phone Number(s) *
Your answer
Legal Guardian email: *
Your answer
Mailing Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Emergency Contact Info (Name) *
Your answer
Emergency Contact Info (Relationship to Youth) *
Your answer
Emergency Contact Info (Phone) *
Your answer
Are there any dietary restrictions, allergies, health or behavior issues we should be aware of? *
Your answer
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