Puyallup Culture Online Registration

Please provide a reliable email when registering. Culture will keep in contact mainly through email and will provide Cottonwood bud information in a PDF format.

Address for meet up on February 20, 2021:

Clark's Creek Dog Park

926 18th St SW, Puyallup, WA 98371

Second meet up date is Saturday, February 20, 2021 at 9am.

We will follow all COVID-19 prevention precautions, wear a mask, social distance 6 feet apart. If you are not feeling well, join us next time

We ask that you provide your own transportation, bring your own food & water. We may be walking through swampy grounds and prepare for rain.

Also, we ask if you may donate half of your harvested Cottonwood bud to the Culture Center.

SIGN IN SHEET: Please list yourself and family members attending:

	PRINT YOUR LAST NAME & FIRST NAME	AGE	TRIBE NAME
1	PRINT YOUR LAST NAME & FIRST NAME	AGE	TRIBE NAME
2	PRINT YOUR LAST NAME & FIRST NAME	AGE	TRIBE NAME
3	PRINT YOUR LAST NAME & FIRST NAME	AGE	TRIBE NAME
4	PRINT YOUR LAST NAME & FIRST NAME	AGE	TRIBE NAME
5	PRINT YOUR LAST NAME & FIRST NAME	AGE	TRIBE NAME
6	PRINT YOUR LAST NAME & FIRST NAME	AGE	TRIBE NAME
7	PRINT YOUR LAST NAME & FIRST NAME	AGE	TRIBE NAME
8	PRINT YOUR LAST NAME & FIRST NAME	AGE	TRIBE NAME
9	PRINT YOUR LAST NAME & FIRST NAME	AGE	TRIBE NAME

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

Please select the day you plan on attending. You may join us in both days as well.

	First Harvest		Second Harvest
	February 6, 2021		February 20, 2021
Harvesting Cottonwood Bud	February 6, 2021		February 20, 2021

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 harmless The Puyallup Tribe, Puyallup Tribe Culture in the event of injury. I/we give permission for 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 zoom class.

Signature

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