Registration Form

Registration Form

Family School Rights & Advocacy Gathering - March 9th & 10th, 2026
Name*

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Which day(s) will you be attending?*

Monday, March 9thTuesday, March 10thBoth Days
Which of the following best describes your role?*

ParentLegal GuardianCaregiver/Relative CaregiverTribal Staff/Tribal Advocate, please list:
Tribal Affiliation

Big Valley Band of Pomo IndiansHabematolel Pomo of Upper LakeKoi Nation of Northern CaliforniaMiddletown Rancheria of Pomo IndiansRobinson Rancheria of Pomo IndiansScotts Valley Band of Pomo IndiansElem Indian ColonyOther, please list:
What School District does your Student(s) attend? (check all that apply)

Kelseyville Unified School DistrictKonocti Unified School DistrictLakeport Unified School DistrictLucerne Elementary School DistrictMiddletown Unified School DistrictUpper Lake Unified School DistrictOther, please list:
Do you have any food allergies?*

NoYes, please list:
Should be Empty: