Youth Entrepreneurship Summit (YES!)

- Registration Deadline: August 28, 2017 -

Tulalip Resort Casino • Tulalip, Washington
September 5, 2017 - 1 p.m. to 5 p.m.
(lunch and breaks provided)

Please note that any attendees under 18 must have written permission from their parent or legal guardian prior to attending.
NOTE: Incomplete / Unsigned Liability Release Forms will not be accepted.

Student Information:
Note: Please complete one registration for each student.

First Name of Student*

Middle Initial

Last Name of Student*

Date of Birth*

Age of Student*

Student's Tribal Affilliation*

Student's School*

Grade

Student's Address (Mailing)

City

State

Zip

Phone*

Mobile

E-mail*

Emergency Contact For Student*

Relationship To Student*

Emergency Contact's Phone*

Emergency Contact's Work Phone*

Emergency Contact's Mobile*

Parent/ Guardian Information:
If student is under 18, Parent / Guardian MUST complete this section.

Name of parent(s)/guardian

Relationship To Student (1)

Address

City (1)

Zip Code

Phone (2)

Mobile (2)

Liability Release Form*
Incomplete/unsigned Liability Release Form will not be accepted.

Download Form Here: http://yes.ncaied.org/wp-content/uploads/sites/11/2017/05/2017_NCAIED-YES-LiabilityReleaseForm.pdf

IMPORTANT: This form must be filled out and signed by each participant or by the parent or legal guardian of each child under 18 years of age who wishes to participate in the activities. This is a legal document, release of liability.

UPLOAD SIGNED FORM HERE

Send me a copy of my responses

Email address