Indivisible Tohono and Emerge! present: A Call to Men Two-Day Youth Summit
Friday, August 16th 9 AM - 1 PM
Saturday, August 17th, 9 AM - 3 PM
Himdag Ki: Cultural Center and Museum

Indivisible Tohono is excited to be hosting a two-day Youth Summit with ​A Call To Men,​ a national organization that educates men and women all over the world on healthy, respectful manhood. They are a violence prevention organization and respected leader on issues of manhood, male socialization and its intersection with violence, and preventing violence against all women and girls. You can learn more about A Call to Men and their model at ​www.acalltomen.org​.  

This workshop will inform and mobilize youth on the Tohono O’odham Nation to become allies and leaders in preventing violence against women and girls. We believe that the message A Call to Men shares is very important for our youth to hear, to help create a world where all men and boys are loving and respectful and all women and girls are valued and safe. Through two days of open conversation in a safe space, we hope this will be a transformative experience for our youth.  
 
The two-day workshop is open to all young men and women grades 9 through 12 and will be held on Friday, August 16​th​ and Saturday, August 17​th​ at the Himdag Ki Museum and Cultural Center in Topawa. The workshop will start at 9 AM and end at 1 PM on Friday and start at 9 AM and end at 3 PM on Saturday. Breakfast and lunch will be provided both days. There is no fee to register for this workshop.  
 
Sign in to Google to save your progress. Learn more
Email *
Student Name or Adult Name *
Age, Grade, and School (if student) *
Village/Community and District *
Dietary restrictions? *
Preferred way to contact student/adult? *
Social media?
Parent/Guardian Contact Information (If Under 18)
Name:
Phone Number:
Email address:
Best way to contact you?
Clear selection
WAIVERS
Photo/Video Release: By signing below, I hereby grant free permission for Indivisible Tohono, Emerge!, and A Call to Men to use still or motion pictures of myself (or my child) participating in their programs or events for outreach purposes, including but not limited to electronic or print materials, or print or broadcast media. Do you wish to grant a photo release? Please consider granting this release to us if at all possible, as our ability to succesfully share our programs/events/workshops with new participants depends on having representative photographs and video.
I hereby assume all risks of injury and death to myself (or my child) and loss of or damage to property arising out of my participation in such activity and I agree to indemnify, hold harmless Indivisible Tohono, Emerge! and A Call to Men, its instructors, agents, and volunteers. ("Releasees") from and against all claims arising from any occurrence causing damage or injury to myself or to any party participating in said event or any third parties injured as a result of my actions. Prior to signing below, I have read and understand the terms and conditions of this Release, Indemnification, and Waiver, understand by signing below I am waiting certain legal rights I may have against the Releasees, and I agree to subscribe to all the terms and conditions set out above.
By entering your name in the box below, you are effectively providing your signature, indicating that all the information on this form is true and accurate, to the best of your knowledge. *
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms