2026 Summer Métis Mobile - Registration Form

🎉 Summer Métis Mobile is Back! 🌞
Free, family-friendly programming is coming to communities across the Red River Métis Homeland! Join us for a fun-filled day of Red River Métis culture, crafts, games, music, and land-based learning, catered to children ages 0-6 and their parents/caregivers.
- Please select your preferred location(s), date(s), and time(s)
- Winnipeg Region - Winnipeg, St. Norbert, & East St. Paul
- Interlake Region - St. Laurent, Winnipeg Beach, Selkirk, Gimli, Lundar, & Arborg
- Southeast Region - St. Malo, Richer, Steinbach, Lac Du Bonnet, St. Adolphe, Anola, & Victoria Beach
- Southwest Region - Headingley, Elie, Brandon, Carberry, Portage la Prairie, St. Francois Xavier, St. Eustache, & Neepawa
- Northwest Region - Swan River, Winnipegosis, Dauphin, Roblin, Ste. Rose, & McCreary
- The Pas Region - Flin Flon & The Pas
- Thompson Region
- Name of Child:
  
  First NameLast Name
- Birth Date:
  
  MonthDayYear
- Red River Métis Citizenship:
- MMF Region (if applicable):
- Parent/Guardian Name:
  
  First NameLast Name
- Parent/Guardian Phone Number:
  Please enter a valid phone number.Format: (000) 000-0000.
- Parent/Guardian Email:
  example@example.com
- Red River Métis Citizenship:
- MMF Region (if applicable):
- Alternate Emergency Contact
- Contact Full Name:
  
  First NameLast Name
- Contact Phone Number:
  Please enter a valid phone number.Format: (000) 000-0000.
- Contact's Relationship to Child:
- Allergies: If your child has any allergies, please provide a list below and the severity of the allergy.
- Carries Epi Pen:
- Medical Conditions: If your child has any medical conditions, please provide further details.
- 1. To the best of my knowledge, my child is in good health and is equipped to meet the requirements to participate in this event.
  2. In the case of an emergency, I understand that every effort will be made to contact me. In the event I cannot be reached, I hereby give permission to the physician selected by the Manitoba Métis Federation to hospitalize, secure proper treatment, order injection, anaesthesia, or surgery for my child. In the event medication, medical advice, treatment and/or equipment are required, I agree to accept financial responsibility for fees in excess of provincial and/or private medical insurance.
  The Medical Release Form will remain confidential and will be used to ensure the well-being of each program/event participant.
- Acknowledgement:
- 1. The Manitoba Métis Federation’s ELCC Department’s programs and community outreach initiatives, such as this event can involve certain elements of risks. Injuries (minor to serious) may occur while taking part in these types of activities.
    
    The chance of an injury occurring can be reduced by following instructions and respecting the Supervising Staff and other attendees.
    
    Participants are expected to follow the guidance and instruction of the Supervising Staff, follow the established rules, and partake in safe play decision making.
    
    Deviation from the above listed can result in consequences under discretion of the Supervising Staff onsite.
- Acknowledgement:
- Photo/Video Release
- 2. Photo/Video Release: I consent for any photographs, video images, voice recordings, and interviews taken of myself and/or the child named on this form to be used for media purposes, including traditional, digital, or social media promotions and marketing campaigns. I understand that I and/or the child named on this form may be involved in activities and programs covered by the media and that they may be photographed and named in such events. Photographs, video images, voice recordings, and interviews are the property of the Manitoba Métis Federation.
- These releases shall be binding upon the participant, the undersigned, and the estates of the participant and the undersigned. I have read and understood all of the above releases.
- Name of Parent/Guardian:
  
  First NameLast Name
- Signature
- Should be Empty:

🎉 Summer Métis Mobile is Back! 🌞

Please select your preferred location(s), date(s), and time(s)

Alternate Emergency Contact

These releases shall be binding upon the participant, the undersigned, and the estates of the participant and the undersigned. I have read and understood all of the above releases.