RELEASE FORM - Absentee Shawnee Tribe Of Oklahoma
RELEASE FORM - Absentee Shawnee Tribe Of Oklahoma
RELEASE FORM - Absentee Shawnee Tribe Of Oklahoma
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
<strong>RELEASE</strong> <strong>FORM</strong><br />
The Cultural Preservation Department of the <strong>Absentee</strong> <strong>Shawnee</strong> <strong>Tribe</strong> of <strong>Oklahoma</strong> will be<br />
sponsoring activities to promote the learning of our language and culture. The event will<br />
occur from Friday, September 28, 2012 to Sunday, September 30, 2012, at the Resource<br />
Center on Peebley Rd., in Little Axe. Parents are strongly encouraged to attend and<br />
participate. All children 12 and under must be accompanied by a parent or appointed<br />
guardian.<br />
Each participant must have a release form on file, in order to attend. No exceptions.<br />
Please submit forms to the Cultural Preservation Department by Thursday, September 26,<br />
2012. For more information, please contact Joseph Blanchard at (405) 275-4030, ext. 203<br />
or by email at: joseph.blanchard@astribe.com<br />
Student’s Name:______________________________________________________<br />
Parent’s Name:________________________________________________________<br />
Address: ____________________________________________________________<br />
city State Zip<br />
School Attending: __________________________________ Age: ______________<br />
Grade:_______<br />
Shirt Size: (circle one) YM YL AS AM AL AXL A2X<br />
Phone No.:___________________________2 nd Phone No.:_____________________<br />
Indian Name (if <strong>Shawnee</strong>):_______________________________________________<br />
Each participant agrees to follow any and all rules and regulations set forth while attending<br />
the Immersion Camp. As consideration of my selection, I agree to not hold liable the<br />
<strong>Absentee</strong> <strong>Shawnee</strong> <strong>Tribe</strong>, Cultural Preservation Dept. staff and/or volunteers for any<br />
injuries which may result from accidents during the attendance of this event.<br />
Student Signature:_______________________________________________<br />
Parent Signature:________________________________________________
The weekend activities will focus on different aspects of <strong>Shawnee</strong> culture – language,<br />
genealogy, history, with plant and animal identification. Please dress appropriately for the<br />
conditions, as we will be outdoors for parts of the instruction.<br />
Tentative Agenda<br />
Friday<br />
7 PM - Check In; Introductions; Set up tents and claim your space.<br />
8 PM-10 PM - Basketball; Volleyball<br />
10 PM – Showers; Clean up<br />
11 PM - Lights Out; Sleep<br />
Saturday<br />
8 AM – Breakfast<br />
9 AM – 1 st Session<br />
10:15 – Snack Break<br />
10:30 – 2 nd Session<br />
12 PM – LUNCH<br />
1 PM – 3 rd Session<br />
2:15 PM – Snack Break<br />
2:30 PM – 4 th Session<br />
4 PM – Swimming (Lake T-Bird)<br />
6:30 PM – Dinner<br />
7:30-10 PM – Structured Free Time<br />
10 PM – Showers; Clean up<br />
11 PM – Lights Out; Sleep<br />
Sunday<br />
8 AM – Light Breakfast<br />
9 AM – Camp Breakdown<br />
10 AM – Conclusion
Change language