2025 Native Fitness XIX Registration Good Day Participants,Native Fitness is Back!The Western Tribal Diabetes Project would like to welcome you to Native Fitness XIX (NF 19)!NF 19 is September 16-17, 2025 at Providence Park, Portland, Oregon. To register, please submit one registration form for each participant First time attendees will be given preference Please limit registration to three (3) participants per organization or tribe and coordinate with your diabetes program Please apply only if you can attend the entire length of the training Participants must be 18 years or older Payments can be made by credit card, check, or money order Prepayment is required, we cannot accept payment on-site Registration fee is $350, and non-refundable. Please note the participants name and Tribal organization on the registration payment, which can be made by check or money order. Also, past experience has led us to recommend that you bring your own comfortable Adidas or Nike shoes for training. There will be some outside training sessions on the Pitch, where the turf may be wet and you may not want your new kicks to get dirty. *By completing this registration form, you are authorizing the Northwest Portland Area Indian Health Board, as well as its collaborating partners to utilize any photographic images taken at the conference to be used for promotional purposes. Question Title * 1. Registrant Information Name: Organization or Tribe: Job Title: Address: City/Town: State: -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP: Email Address: Phone Number: Question Title * 2. Do you work with SDPI (Special Diabetes Program for Indians)? Yes No Question Title * 3. Have you attended Native Fitness before? First time 1 - 2 3 - 4 5+ Question Title * 4. Please let us know if you have any dietary restrictions. Gluten Vegan Dairy Free Other (please specify) Question Title * 5. Please indicate Check, Purchase Order, Credit Card, or Money Order Number Mail registration checks or money orders to: Western Tribal Diabetes Project- NPAIHB920 NW 17th Ave.Portland, Oregon 97209 Hotel Information:The Paramount Hotel (Tribal ownership - TDX Hospitality - Alaska’s Unangax (Aleut) people)Native Fitness 2025 Event Portland Paramount Booking LinkRate available: $120Cutoff date: Aug. 25808 SW Taylor St.Portland, OR 97205The Duniway, owned by Hiltonhttps://book.passkey.com/go/NPAIHB2025Rate available: $159Cutoff date: Aug. 25545 SW Taylor St.Portland, OR 97204Participants are responsible for their own travel and lodging costs. You will need a credit card to reserve your hotel room. For questions contact: Email: wtdp@npaihb.orgPhone: 503-416-3257 Done