The Tipi Raiser's 2023 Volunteer Service Trip Registration Forms and Releases

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Volunteers are invited to join the Tipi Raisers for Volunteer Service Trips to work and play alongside tribal members and help repair homes, deliver needed donations, cut firewood, share meals and learn about Indigenous cultures.

Spots fill up fast so sign up soon! We will not accept registrations any later than two weeks prior to trip date.

Please forward the following to mackenzie@thetipiraisers.org at your earliest convenience:

1) Copy of car insurance card if you are using your personal vehicle for this trip
2) Copy of Health Insurance Card - this will make admission to a hospital or ER easier, however, health insurance is not required.

In accordance with the easing of tribal Covid-19 restrictions and continued downward trends in CDC-reported COVID-19 cases nationwide, we have made the decision to lift our prior requirement for proof of vaccination or negative COVID-19 test results ahead of volunteer trips.

We continue to practice hand-washing and proper sanitizing protocols on trips, and ask that individuals experiencing symptoms of COVID-19 directly prior to or during a trip to quarantine themselves until the appropriate isolation time per CDC-guidelines has elapsed.

Contact Mackenzie at 770-713-2996 if you have any questions.

Email *

What are the dates of the trip that you will be joining Note: Dates and locations may change due to a variety of circumstances and you will be notified immediately if that is the case. You may choose multiple trips if you truly intend to participate in them. *

January 27 - 31: Hopi and Navajo Nations, AZ

March 11 - 18: Hopi and Navajo Nations, AZ (Plan on arriving on March 12 and departing on March 17 as the dates listed include one travel day on each end)

May 27 - June 1: Hopi and Navajo Nations, AZ

August 6 - 13: Hopi and Navajo Nations, AZ

Required

If you chose "other", please list the dates and times that you plan to arrive and depart. NOTE: Because building community amongst our volunteers as well as with the Native relatives we are serving is central to a successful service trip, preference is given to those who can attend the entire trip. If you can only join for part of the trip you will be alerted 30 days prior to the trip if there is room to join. *

Full Name *

Street Address *

City *

State *

Zip Code *

Phone Number *

Birthdate *

Please share what time you intend to arrive: *

Please list the names of any people who will be joining you (be sure they register separately):

Emergency Contact Name *

Emergency Contact Phone Number *

Parent/Guardian Section

Fill this out if attendee is under 18

Parent/Legal Guardian Full Name

Parent/Legal Guardian Relationship

Parent/Legal Guardian Email

Parent/Legal Guardian Phone

Parent/Guardian Address (if different than your own)

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