CCSD Indigenous Identity Camp June 2022
Registration, Parent Permission & Media Release Form:
Secondary: MAX 60 students
Elementary: MAX 25 students
First Come, First Serve basis. Parents will drop off and pick up their students.
Sites: Judy Nelson, Nizhoni, Newcomb Elementary

As the Parent/Legal Guardian of this child, I grant permission for my child to participate in the upcoming June 2022 Indigenous Identity Camp. This entails reproducing the interviews, photographs, video images of the camp. Including my child's name, age, and school, for the purpose of publication, promotion, illustration, advertising, and/or trade in any manner or any medium. This includes social media pages and the district website, www.ccsdnm.org.  

The purpose of this camp is to highlight our student's Indigenous Identity through culture and language to our schools, parents and community. Participants will continue to adhere to the COVID-19 safety/prevention protocols for the duration of the camp to ensure everyone's safety.
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Register: Student's Full Name: *
Grade: (SY2021-2022) *
School Site: *
Parent/Legal Guardian Name *
Primary Phone number: (*Required) Please provide a working number. *
Secondary Phone number: (*Required)
Permission: I, the parent/guardian, with a full understanding of the above information: *
Media Release: I, the parent/guardian, with a full understanding of the below information:
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Parent/Legal Guardian: (Electronic Signature)
DATE: *
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