2023 AIS Native Market Days

2023 AIS Native Market Days

Hoop Dance Competition Online Pre-Registration Form
Contestant Online Pre-Registration Form

Online Pre-Registration Deadline: 11:59 p.m., MST, Saturday, July 22, 2023
All contestants must read, complete, and submit this form PRIOR to the in-person check-in, Friday, August 11, 2023. There will be no on -site registration for contestants who have not submitted this pre-registration form. The required fields are noted with an (*) asterisk. One form must be completed for each contestant - group entries will not be accepted.

Please direct any questions concerning registration to meredith@americanindianservices.org.
Division*
Gender/Category*
Contact Information*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Email*
Important information will be sent via email, please make sure your email is correct.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Parental/Legal Guardian Contact Information*

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If the contestant is under 18 years of age, a parent/guardian must complete and submit this form in order for the entrant to participate. If the entrant is between 13 and 18 years of age, a parent/guardian must provide a signature (permission) for entrant’s participation. If you are over the age of 18, type "N/A" in each field
Parent/Legal Guardian Contact Information*

First NameLast Name
Parent/Legal Guardian Email*
example@example.com
Parent/Legal Guardian Phone Number*
Please enter a valid phone number.
Tribal Affiliation(s)*
Tribal Enrollment/Reserve/Status Number*
Proof of Tribal Enrollment/Reserve/Status*

Enrollment/Reserve/Status Number* Please attach a copy of your letter/card here. Accepted file types: .jpg, .png, .pdf. File size must be less than 5MB. Scanned or photographed cards should be 72dpi an no larger than 800px wide.
Cancelof
Terms & Conditions*
By checking the box, you have read and agree to abide by the Competition Rules. If under the age 18, your parent/guardian also affirms you have permission to compete.
The privacy of children is of the utmost importance, and we are committed to complying with the Children’s Online Privacy Protection Act (COPPA). If I am a parent/legal guardian of a child under the age of 18 who is to be registered for the competition, by submitting this Online Pre-Registration Form, I hereby knowingly agree and consent to the following terms and conditions:
• I represent to AIS that I am the parent/guardian of the child to be registered for the competition.
• I acknowledge that my consent is required for the collection, use, or disclosure of my child’s personal information, and that AIS will not collect, use, or disclose my child’s personal information without my consent.
• By submitting this form, I hereby expressly consent to AIS’s collection, use, and disclosure of my child’s personal information for the limited purpose of the administration of this contest, including for communications regarding this contest as well as the notification and publication of winners.
• I have the right at any time to revoke this consent by notifying AIS, in which event AIS will delete my child’s personal information as soon as possible.
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2023 AIS Native Market Days

Contestant Online Pre-Registration Form