MOWA CHOCTAW CULTURAL CAMP 2024

Location: MOWA Choctaw Gymnasium 1080 Red Fox Road Mt. Vernon, AL

Grades: Rising 2nd - 6th graders

Time: 8:45 a.m. - 12:00 p.m. Lunch 12:00 - 12:30

All students must be picked up by 12:45

All Students must be pre-registered on a first come first serve basis. The completed registration packet must be on file no later than June 17, 2024, SO we can plan for the summer camp.

Basic Daily Schedule and Routines:

Camp participants will be involved in language, sports, crafts, and a variety of other cultural activities.

Packets may be picked up at the tribal office or may be accessed at our website at www.mowachoctawindians.com

Please contact the tribal office at 251-829-9023 for any questions you may have regarding the MOWA Choctaw Cultural Camp.

MOWA CHOCTAW CULTURAL CAMP REGISTRATION FORM

Name of Student*

Birthdate*

Date

Age*

Grade for 2024-2025*

Parent's / Guardian's Name*

Address*

Contact phone (home)*

Contact phone (cell)*

Email*

example@example.com

Emergency Contact Name*

Emergency Contact #*

Identify any medical conditions and allergies*

Insurance Coverage?*

YesNo

*NOTE: We will not be administering meds to any youth. This is the sole responsibility of the student's family.

Signature of ParentGuardian*

DATE*

Date

PLEASE RETURN NO LATER THAN JUNE 17, 2024

MOWA BAND OF CHOCTAW INDIANS
PHOTOGRAPH/VIDEO CONSENT AND RELEASE
And
ACCIDENT WAIVER AND RELEASE OF LIABILITY
LANGUAGE IMMERSION SUMMER CAMP 2024

Childs Name*

The MOWA Band of Choctaw Indians may take photographs of participants in the Summer Camp program. These photos may be placed in publications such as the Monthly Newsletter. The undersigned acknowledges and agrees that the participation to photograph and video is strictly voluntary and gives express permission to have their child photographed and/videotaped.

By signing this form, the undersigned acknowledges that he/she has completely read and fully understands this release and agrees to be bound herein. The undersigned releases any and all claims against the Tribe with regard to the Tribe’s utilizing the photos/videos and agrees not to make any monetary or other claim against the Tribe for use of the photos/videos.

In addition, the undersigned agrees not to hold the tribe, its employees, officers, council members, or anyone else responsible for any liabilities or accidents as a result of their child participating in the Summer Camp program.

I CERTIFY THAT I HAVE READ THIS DOCUMENT AND FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND I SIGN IT OF MY OWN FREE WILL.

Parents Name Print*

Parents Signature*

Date*

Date