Consent for storing submitted data Yes, I give permission to store and process my data Student Information Student Name: Grade Level: School Attending: Tribal Affiliation: Enrolled Descendent: If the student is a descendant, who is the individual with Tribal membership? Student's Parent Student's Grandparent Student's Aunt/Uncle Other blood relative Parent Information Parent/Guardian Name: Parent Phone Number: Parent Email: Cultural Event What is the cultural event? Hunting/Fishing/Gathering Ceremony (feast, memorial, other) Is the cultural event out of town? Yes No How many days will the student be out of school? Proposed date back in school:
