1.First and last name of child

2.Age of child

3.Nation or Indigenous community the child is connected to

4.Does this child or youth have any cultural interests that they need supplies for? (for example, requires beading supplies)

5.Anything else you'd like to share

6.Please enter your mailing address

7.Please enter a contact email address in case we have any questions

8.Pronouns? (she/her, he/him, they/them)

9.Clothing size for t shirt, hoodies, shoe size?