For Office Use Only
Paid Fee ________ Fee Pending __________ Number __________
18th Annual International Two Spirit Gathering
“Preparing Our Spirits”
Registration
Name ______________________________________________________________
Address ____________________________________________________________
Street City Postal Code
Day phone ____________________ Night phone____________________________
Email Address ________________________________________________________
Aboriginal Affiliation___________________________________________________
Emergency Contact Person _________________________phone________________
Arrival Date ____________________ Place (
Do you need to be picked up? Yes No
If yes, where and when? __________________________________________________
Do you need bus transport to the camp? Yes No
Do you want to be in the same cabin as someone? Yes No
If coming as a family or group please list all the names
If yes
| Name | Name |
| | |
| | |
| | |
Do you have any allergies? Yes No
If yes what, _____________________________________________________________
Do you have any of the following medical issues?
__ Asthma __ Diabetes __ HIV/AIDS
__ Lactose Intolerance __ Prescribed Medical Marijuana
___ Other: _____________________________________
We will be designating a few cabins for families, Elders and medicine people these cabins are expected to be quieter to meet the needs of these groups.
Do you need a cabin designated as?
__ Family ___ Elder & medicine people/helpers ___ N/A
Are you bringing your own tent or trailer? (We have limited space for this so we need to know in advance?
_______________________________________________________________________
Since this is a spiritual gathering we need helpers with the following please check off areas of interest to you.
___ Fire Keeper ___ Conduct a Sweat Lodge ___ Pipe Ceremony
___ Cooking ___ Food Preparation ___ Clean up
___ Setting up supplies needed for campfires/ sacred fire
I, ____________________________ am aware I am coming to a spiritual gathering and I agree to respect the rule of no alcohol/drugs. I know anyone found to break this respect will be asked to leave without a refund.
Signature: ____________________________________
Contacts
Natalie Lloyd Craig Ross
Inukwomyn72@aol.com craigpross@hotmail.com
Work:514-499-1854 Fax: 514-499-9436
Note: You will not be confirmed as a participant until you have paid the food and accommodation fee OR we have officially confirmed you in writing.
Scholarship Application
(deadline for Scholarships is August 1, 2006)
Name ______________________________________________________________
Address ____________________________________________________________
Street City Postal Code
Aboriginal Affiliation__________________________________________________
Have you asked your band (in Canada
____________________________________________________________________
____________________________________________________________________
Please explain your circumstance – why do you need a scholarship?
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
Please fill in both the Registration form and the Scholarship form when applying for a scholarship.
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