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Youth Tribal Opioid Summit 2026 Registration

Hosted by the Washoe Tribal Healing Center
Space is limited, first 30 applicants will be accepted.
Registrants age 12 to 17.
1.By signing my name below, I acknowledge that I am the parent or guardian of the following attendee and give my permission for them to attend.(Required.)
2.By signing my name below, I understand that I cannot attend the Youth Tribal Opioid Summit, but can register for the Adult Tribal Opioid Summit, which is at the same location.
3.Youth Name (First, Last)(Required.)
4.Youth Phone Number(Required.)
5.Youth Email(Required.)
EMERGENCY CONTACT INFORMATION
6.Guardian Name (First, Last)(Required.)
7.Guardian Phone Number(Required.)
8.Guardian Email(Required.)
9.Are you a Tribal member or descendant?(Required.)