Native Youth Virtual Gathering Conference Application

Permissions
Name of Participant*
First Last
Participant Commitment Statement*
- I hereby agree to actively participate in the 2020 NPCCA Virtual Youth Gathering. I will be on time to and respectful at all organizers, presenters and participants. I will abide by all appropriate internet etiquette guidelines.
Date*
MM slash DD slash YYYY
Legal Guardian Permission
Name of Legal Gaurdian*
First Last
Legal Guardian Phone Number*
Legal Guardian Permission Statement*
- As the legal guardian, I hereby approve the participation of my child in the 2020 NPCCA Virtual Native Youth Gathering. I will not hold liable Native People Count California, or any of its agents, volunteers or other organizations involved in the gathering. By checking the box below I grant permission to photograph and/or film for use by NPCCA.
Date*
MM slash DD slash YYYY
Once your application is received, you will receive an email confirming your participation. If you have any questions, please email mailto:[email protected].

Registration Information