Klamath River Celebration

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Thank you for signing up to join us for the Free-Flowing Klamath River Celebration at Deer Mountain in Montague, California. If you did not register through Eventbrite, please do so HERE unless you have made special arrangements with Heddi.

Please complete the form below so that we may prepare for your needs and the needs of your group. We look forward to honoring and celebrating this momentous occasion with you!

*After registration more information will be provided on protocols, what to bring for yourself and the ceremonies, potluck contributions, directions, and general information.

First Name *

Last Name
*

Birth Date
*

YYYY

Phone Number
*

Is this number on WhatsApp? *

There is limited cell phone reception at Deer Mountain so using WhatsApp has been helpful to stay in communication.

Yes

Required

E-mail address *

Mailing Address

City
*

State
*

Zipcode

I am registering for:
*

The Full Event

Day Pass

For Day Passes, please select dates you will be attending.

May 25, 2024

May 26, 2024

Clearly state all food, stinging insect, and/or environmental allergies or intolerance you have. *Please list in order of their severity. Are any of these life-threatening? *

List any physical, psychiatric or medical conditions we should know about. Please share any details that feel important.

List any medications you are taking.

List any special needs (mobility, general issues etc.).

Do you have any special dietary requirements? *

We will have vegetarian and gluten-free options available. Please bring what you need to take care of your dietary needs.

The road up the camping area requires either high clearance, 4WD, or all-wheel drive vehicles. Does your vehicle fall into these categories? There is NO RV camping allowed at Deer Mountain. *

*Due to Deer Mountain road conditions to the campsites and ceremony grounds, it is essential to coordinate all road travel in advance.

Yes

Required

If you checked yes, are you able to assist transporting other people and/or gear to the campground?

Yes

If your vehicle does not fall into the categories above, we will need to organize a shuttle to transport you and your gear up to the camping site at specific times. 2WD cars will be parked at the entrance.

I understand and will make the necessary arrangements.

Are you available to be part of the support team for this gathering? *

Yes

Please provide the names and ages of any children who will be accompanying you.

** I agree that these children will be under my close supervision at all times. EVERYONE is expected to respect the ceremonial guidelines.

I am the legal guardian of these children.

Yes

Other:

Clear selection

If I am not the legal guardian of a child under my care during this event, I agree to have a medical consent signed by their legal guardian and will bring it with me to the event.

Yes

Other:

Clear selection

If you are coming as a group, please list the other adults in your group who will be registering for this event.

Emergency Contact Name
*

Emergency Contact Phone Number
*

As a participant of this event, I agree to all of the following: (please check all the boxes) *

I will be prepared with all my own camping gear, extra food, and propane cookings stoves if needed.

I understand that there are no drugs or alcohol permitted.

I understand there are NO personal campfires allowed.

I understand dogs are not allowed at this event.

I agree to coordinate all Deer Mountain road travel in advance.

I understand the importance of arriving within the designated arrival times.

I understand that there will be ceremonial guidelines provided that must be respected

Required

Is there any additional information that you would like to share?

Thank you so much!

We look forward to co-creating this amazing gathering with you. Be on the lookout for a follow-up email.

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of UVE, Inc.. Report Abuse

Forms