Application to Register a Cabin on Gwich’in Land

Application to Register a Cabin on Gwich’in Land

For CABINS BUILT BEFORE December 31, 2014
Section 1: General
Applicant Name*
Application Date (MM-DD-YYYY)*

MonthDayYear
Date
Enrollment Number (If you are a Gwich'in Participant)
Phone Number*
Please enter a valid phone number.
Email
example@example.com
Address
Street Address*
PO Box*
Province/Territory*
Postal Code*
Section 2: Campsite Details
How many buildings are in the campsite area?*
How old are the buildings?*
What is the main purpose of the camp?*
Location of the campsite? (Include lat/long coordinates, map and Parcel #/Letter)*
Please attach a photo of your campsite or cabin.

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Section 3: Authentication
I hereby certify that the information contained in this registration application is true and correct.
Applicant Signature*

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