Registration Form

In September 8, 2014

2nd Annual Tribunal

October 22 – 25, 2014

Radisson Hotel & Conference Center

Oneida, Wisconsin

BOARDING SCHOOL SURVIVORS

Registration Form

NAME  

_________________________________________________________

ADDRESS  

_________________________________________________________

_________________________________________________________

CITY/STATE/ZIP CODE  

_________________________________________________________

TELEPHONE  

_________________________________________________________

EMAIL  

_________________________________________________________

TRIBE/ORGANIZATION  

_________________________________________________________

_________________________________________________________

AS A CONFERENCE PARTICIPANT WOULD YOU BE WILLING TO DO AN INTERVIEW OR BE ON A PANEL TO TELL YOUR BOARDING SCHOOL STORY?  (If yes, someone will contact you to add you to the agenda.) 

[    ] YES          [    ] NO

IF YOU WILL INTERVIEW/TESTIFY, DO YOU CONSENT TO BEING FILMED?

[    ] YES          [    ] NO

THERE ARE NO REGISTRATION FEES. HOWEVER, DONATIONS ARE BEING ACCEPTED. YOU CAN MAIL THE REGISTRATION FORM AND/OR DONATION TO:

BLUE SKIES FOUNDATION

N5679 SKYLARK DRIVE

DEPERE, WISCONSIN  54115

CONTACT US WITH QUESTIONS:

DOROTHY NINHAM (920) 869-2641

GINA BUENROSTRO (920) 366-0939

YOU MAY ALSO CONTACT US AT WWW.BLUESKIESFOUNDATION.INFO.

HAVING PROBLEMS?  DOWNLOAD (PDF FORMAT) AND PRINT.

Blue Skies Foundation
Preserving Indigenous Cultures, Languages, & Traditions
  • N5679 Skylark Drive, DePere, WI 54115
  • (920) 869-2641

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