Due to the Pandemic, all of our programs and classes will be on-line until which time it is safe to meet in-person again.

Event Enrollment Form

For all other events, please fill out the online form.
Event Enrollment Form needs to be filled out for every event you want to sign up for.
(any field with a red astrisk ” * ” is a required)

Choose the program you would like to sign up for.


Adult Information

Required
Required
Required (include apt, suite, unit or any other number)
Required
Required
//
Required
Required
Required
example: (North Fork Rancheria Mono, Chucksansi, Big Sandy, Tachi, n/a)
Required
(If not attending school use n/a)

Adult Household Information

Required
Required
Required
Required
Required

Emergency Contact Information

Emergency Contact One

Emergency Contact Two

Insurance Information


At Risk Indicators

Required

Must Include Two Checks
Please Check All That Apply


Participants Information

(You are already included, Just enter other Participants/Household members)

Maximum Number of Participants is 7

Participant One

First and Last Name
Required
(ex North Fork Mono)
Required
//
Required
Required
Required
(if not attending use n/a)
Required

Messaging/Updates

We use a Messaging Services called "Remind" to send any notifications for example: zoom link, reminders, or updates.
If you would like to receive notifications about the event, provide us with a valid Cell Phone Number or Valid E-Mail Address.

Message and data rates may apply depending on your mobile carrier.
(optional)
(optional)

Terms of Services

The parent(s) of participant(s) must complete and return this agreement. It is understood that I (the participant) cannot participate in the recreation activities until this WAIVER has been completed. As the legal guardian/parent of a minor participant(s), for myself, my personal representative, heirs, next of kin, spouse and assignees do hereby release and discharge the North Fork Rancheria and all of its programs, employees, agents, Board of Directors, and staff from any and all claims and damages, or property damage while participating in the above activity or attending the above activity which is being financially sponsored by North Fork Rancheria Tribal TANF. I understand that my participation in the North Fork Rancheria Tribal TANF activity or my participation in an activity which is being financially sponsored by North Fork Rancheria Tribal TANF may result in potential harm, injury and/or damage to me or my property. In case of an accident or an emergency, I authorize a staff member of North Fork Rancheria Tribal TANF to take my child to the above-named Physician or to the nearest Emergency Hospital for such emergency treatment and measures as are deemed necessary for the safety and protection of the child at my expense. All allergic reactions to and current medication-taking information must be disclosed on this form. I have read and hereby agree to abide by the North Fork Rancheria Tribal TANF Activity Rules. I further acknowledge that my participation in the North Fork Rancheria Tribal TANF Activities will be in jeopardy should I fail to adhere to the rules. I give permission for any photos/filming of my child/myself taken while participating in this activity, to be used by North Fork Rancheria and its programs for promotional use, such as but not limited to: newspaper, television, posters, social media, magazines, promotional or educational, etc. I also understand that I will not receive any compensation for such use. Safety is our first priority. If the behavior of an individual is not appropriate, consequences will be determined by the appropriate North Fork Rancheria Tribal TANF staff member. North Fork Rancheria Tribal TANF – Code of Conduct: Be helpful, courteous, and respectful to others at all times Do not use or possess alcohol, tobacco, or other drugs. Check-in with your event leaders, so they know where you are at, at all times. Be respectful of other youth (No fighting, pushing, hitting, or “put-downs”). Be respectful of the environment (No littering or vandalism). No vulgar language will be tolerated. NO PETS ALLOWED Consequences may include the following: Verbal Warning, Parent Contact, Sent home from an activity at own/parents’ expense, Disqualification from future FW prevention events I certify that all information reported in this application is accurate to the best of my knowledge and hereby authorize the information to be used by the North Fork Rancheria Tribal TANF Program, for the purpose of Data Tracking. Disclaimer: I understand that my information is confidential and will not be divulged to anyone without my permission.

Due to the Pandemic, all of our programs and classes will be on-line until which time it is safe to meet in-person again.