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RSVP: NBTS + CTCLUSI Collaborative Gathering, January 2023
1.
Name (First Last)
2.
Email
3.
I plan to attend, 5:30 - 7:30 pm at:
January 13th, Tribal Hall Community Center in Coos Bay
January 20th, Florence Regional Office
January 27th, Eugene Regional Office
4.
Check all that apply to you:
I am a CTSLUSI Tribal member
I am part of a CTCLUSI family
I am an NBTS grant partner or staff
Other (please specify)
5.
How many people are attending with you? I.e. family members etc.
6.
Do you think you will need childcare during the event? (We will have childcare available for children under 10 years old at the event.)
Yes
No
Maybe
7.
If you answered Yes or Maybe, above, please tell us the ages of your children.
Child 1:
Child 2:
Child 3: