DoCE Event Registration Form

Event Registration Form

Please fill out the form completely and accurately.
Name

First Last Suffix
Date of Birth

MonthDayYear
Address

Street Address Line 1 (Physical)

Street Address Line 2 (Mailing)

CityState

Postal / Zip Code
Email
example@example.com
Telephone Number
Format: (000) 000-0000.
Are you a member of a federally recognized tribe?
What is your tribal affiliation?
My tribal affiliation is:
Type the name of your affiliated tribe here.
Which of the following best describes you?
Enrollment Number/Tribal ID Number (optional)
Choose the event that you are registering for. If the event you are registering for is not listed, choose 'Other' and use the box in the next question and type the name of the event.
Type the name of the event you are registering for.
I agree that the above information may be shared between College of Menominee Nation personnel, Bureau of Indian Affairs, my affiliated tribe and State programs.
Please verify that you are human.
Should be Empty: