NATIVE HEALTH Talking Circle Registration

Name*
First Last
Gender*
Phone*
Email*
Native American Tribal Affiliation (if applicable)
I understand that I am signing up for an event I agree to attend, and I agree to receive text reminders at the number provided. My participation in this class is voluntary and I assume all risks, known and unknown. I also release and waive any claims for injury, illness and any other damages that I may have against NATIVE HEALTH arising from my participation.*
- Yes
- No