Tewa Roots Society Basecamp Waitlist

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Tewa Roots Society Basecamp Waitlist - Winter 2024

The 2024 After-School Teen Basecamp Program starts on January 16, 2024.

Hours: Tuesday - Thursday, 3:30PM - 5:30PM Location: 30 Pin Oyegi ( right next to the Nambé Pueblo Wellness Center)

Due to the nature of Basecamp programming, registration is limited to 12 teen participants per cohort.

Basecamp will contact participants individually to register.

Please fill out the form below to add your teen to the waitlist.

Youth Participant First and Last Name *

Youth Participant Phone Number *

Youth Participant Email Address *

Youth Participant Physical Address *

Parent/Guardian First and Last Name *

Parent/Guardian Phone Number *

Parent/Guardian Email Address *

Additional Parent/Guardian First and Last Name

Additional Parent/Guardian Phone Number

Additional Parent/Guardian Email Address

I understand that by submitting this form, I am being added to the Tewa Roots Society Basecamp Waitlist.

I understand that if I am not selected for the current cohort, I will need to fill this form out again to be considered for the next cohort.

I understand

Submit

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