Reclaiming Our Roots March Break RetreatRegistration open to Indigenous youth aged 18-30 (ish) Name * First Name Last Name Pronouns? he/him, they/them, etc. Email * Phone * (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country Birthdate MM DD YYYY Sweater/T-shirt Size Rooming Shared rooms need to be family bubbles. Single Shared If shared, who will you be rooming with? Are you able to stay for the full five days? Yes No If no, what days are you available? The Tatamagouche Centre requires that all guests are able to provide proof of full vaccination. Do you consent to provide proof of full vaccination? Yes No Dietary Restrictions Accessibility needs? including any allergies! There will be opportunities for folks who wish to share some of their own skills or knowledge. Are there any areas or activities you would like to share in particular? What self-care supports would you like access to, or as a gift after the gathering? What does does self-care look like to you at this moment? We are not able to offer direct transportation but can offer support for mileage for participants who need it: Yes, I need mileage $$$! No, I should be okay! Is there any other support that you need to attend? (childcare, etc) Is there anything else you'd like us to know? Wela’lin Dawlin
