Hazel Harvesting
Join us in the Siletz area for hazel harvesting on April 17th and 18th, 2026.
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Roll Number
Age
How would you like to be contacted?
Email
Phone
Text Message
Do you or any of your participants have allergies/relevant medical conditions we should be aware of? (ie. bee allergy, poison oak allergy, etc.)
Emergency Contact
Please fill out the information below for a contact in case of an emergency
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Relation to self
Additional Participants - please provide name and age of any additional participants you will be registering for.
Photo and Media Release
Yes, I give permission for the Confederated Tribes of Siletz Indians (Healthy Traditions Program) to take and use photos or videos of me/my child during program activities for educational, promotional, and outreach purposes (including social media, newsletters, and websites).
No, I do not give permission.
Assumption of Risk & Liability Release: Participation in Healthy Traditions activities includes outdoor and hands-on experiences that carry inherent risks. By selecting "Yes," I acknowledge these risks and agree to participate voluntarily.
Yes, I understand and agree.
No, I do not agree.
Signature
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