2024 KBE Blackfoot Language & Culture Summer Camp

Legal Surname

Legal Given Name

Telephone

Cellphone

Age

Treaty Number

AB Health Care

Allergies or Medical conditions

Address

Town

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Mother's Name

Mother's Cellphone

Father's Name

Father's Cellphone

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Guardian's Cellphone

Alternate Contact Name

Alternate Contact Cell

Field Trip Consent

Yes

No

Do you authorize Kainai Board of Education to photograph/film your child and permit the use and display of said photographs in print publication, multimedia production, advertising or World Wide Web Publications?

Yes

No

Parent Signature

Date

2024 KBE Blackfoot Language & Culture Summer Camp

Student Information

Aahsaopi Elementary School