Youth Registration Form

Registration is now open for the 2026 Wabun Jr. Youth Gathering, taking place July 27–31, 2026 at Mattagami First Nation.

"*" indicates required fields

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Youth Information

Information on the registrant attending the 2026 Wabun Jr. Youth Gathering.

Name of Child*

First Last

Age*

Date of Birth

MM slash DD slash YYYY

First Nation Community

Home Address

Street Address City Province Postal Code

Parent/Guardian Information

Name of Parent/Guardian*

First Last

Email*

Phone (Parent/Guardian)*

Emergency Contact #1

Who is the primary contact in the event of an emergency?

Name of Primary Emergency Contact*

First Last

Relationship*

How does the youth know the contact?

Phone*

Primary number for emergency contact

Emergency Contact #2

Who is the alternate contact in the event of an emergency?

Name of Alternate Emergency Contact*

First Last

Relationship*

How does the youth know the alternate contact?

Phone*

Primary number for alternate emergency contact

Health Information

Health Card Number*

Medical Consent*

In case of illness or injury at the Wabun Youth Camp, I give permission to camp personnel to take my child to hospital to receive medical treatment.

Allergies or Medical Conditions*

Other Important Information or Supports

Consent and Authorization

Please review and check all that apply.

Consent to Attend*

I give permission for the participant to attend and participate in the 2026 Wabun Jr. Youth Gathering taking place July 27–31, 2026 at Mattagami First Nation.

Transportation and Release Acknowledgement*

I understand that youth participants must travel with the community chaperones unless their parents/caregivers arrange to pick them up personally. I understand that youth will not be released to anyone else’s care for safety reasons.

Release for Publication of Attending Youth’s Name and Image*

I hereby give Wabun Tribal Council permission to publish the attending youth’s name and image, including photo or video, taken of them with or without other youth campers in newspapers and other media, Wabun Tribal Council’s website, and other promotional materials.

Yes

Signature*