Application to Establish a New Campsite on Gwich’in Land

Application to Establish a New Campsite on Gwich’in Land

(For Use by Gwich’in Participants as well)
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
Proposed Project Start (Date or Period e.g Summer 2025)*
Indicate proposed use of area: (Traditional/Cultural, Year Round/Seasonal, Recreational, etc.)*
Location of campsite? (include coordinates and map and Parcel #/Letter)*
List all cabins or camps within a 1 km radius of your location:*
List all current and traditional users of the area:*
Identify areas where wood would be harvested and water source: (please provide map showing all locations requested in this application)*
Provide description of proposed camp structures:*

Disposal method for*

Identify areas where wood would be harvested and water source: (please provide map showing all locations requested in this application)

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Please attach a photo of your campsite or cabin.

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

Clear
Should be Empty: