Tucson Indian Center's TAKE DOWN TOBACCO WORKSHOP REGISTRATION

Virtual Youth Wellness Workshop, April 1, 2021 at 5:00 PM to 6:00 PM

This event is for youth ages 8-17, Outdoor Activity for workshop participants is on Saturday, April 3, 2021

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* 1. Registration Form:

Youth Name

Tribal Affiliation

Address

City/Town

State/Province

ZIP/Postal Code

County

Email Address

Phone Number

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* 2. What is your age?

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* 3. What is your T-shirt size?

Medium

Large

XL

2XL

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* 4. Additional family member age 8-17 in attendance with you:

Name

Tribal Affiliation (s)

Age

T-shirt size (M, L, XL, 2X)

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* 5. Additional family member age 8-17 in attendance with you:

Name

Tribal Affiliation (s)

Age

T-shirt size (M, L, XL, 2X)

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* 6. Youth ages 8-17 wellness outdoor physical activity. Special short Nopal workshop will be provided. Free plant for your vistit. Please check the box. Transportation will not be provided. You must provide your own transportation.

Saturday, April 3, 2021 - Mission Gardens, 946 W. Mission Ln, Tucson, AZ 85745. Opens at 8 AM, closes at 2 PM.

Not Participating in outdoor activity

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* 7. Are you an enrolled Wellness client?

Yes

No