Puyallup Cultural Program

TIME: 5:00PM - 7:00PM

WHERE:

Heritage Division - Winner’s Gym

810 E Harrison St, Tacoma, WA 98404

Online registration is required.

Please provide a reliable email when registering.

Culture will keep in contact mainly through email with PDF documents and information for classes.

Puyallup Tribal members are welcome.
Tribal community members are welcome to register if you reside in the Puyallup reservation.
You are welcome to join if you work for any Puyallup Tribal entities.
You must be a Puyallup Tribal member if you are registering outside of the Puyallup reservation.

CULTURE STAFF CONTACTS:

Marsha Pluff
Marsha.Pluff@PuyallupTribe-nsn.gov

253-337-8549

Please check a box for which craft you plan on bringing in so we can properly prepare for you.

Please check which day you plan on joining us.

Jan 9

Jan 16

Jan 30

SIGN UP SHEET: Please list yourself and family members participating:

	LAST NAME	FIRST NAME	AGE	TRIBE
1.	LAST NAME	FIRST NAME	AGE	TRIBE
2.	LAST NAME	FIRST NAME	AGE	TRIBE
3.	LAST NAME	FIRST NAME	AGE	TRIBE
4.	LAST NAME	FIRST NAME	AGE	TRIBE
5.	LAST NAME	FIRST NAME	AGE	TRIBE
6.	LAST NAME	FIRST NAME	AGE	TRIBE
7.	LAST NAME	FIRST NAME	AGE	TRIBE
8.	LAST NAME	FIRST NAME	AGE	TRIBE

Please provide address Address, State and Zip *

Phone *

Email *

Confirm Email *

CONSENT, RELEASE & WAIVER OF LIABILITY

I/we understand that the class environment and activities pose risks to personal health and safety. I/we hereby agree to hold The Puyallup Tribe, Puyallup Tribe Culture harmless in the event of injury. I/we give permission the use of photos of me or my family in publications and release my right to any remuneration from said photos. Please read this slip carefully, fill out completely, sign and return by deadline date. Your child / children MUST have a signed permission slip in order to attend virtual class.

Signature *

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