Upload a word or excel document providing information for each group member. This includes: name, email, age, gender (optional), tribal affiliation (if any), dietary needs, name of community; indicate if the location is urban, rural, or Indigenous Nation.
By completing the roster, the applicant acknowledges that they are fully responsible and liable for the group, and agrees to indemnify Mni Ki Wakan, “MKW,” its staff, consultants, and representatives from any and all liability claims, including but not limited to damaged, lost, and stolen property belonging to the group or group coordinator, any health issues, and other claims arising actively or passively during, before, and after the MKW Summit.
Purpose: Water Issues Impacting Indigenous Peoples & Solution-Oriented Responses
The purpose of these questions is to learn about what participants hope to gain at the MKW Summit, and how Indigenous Peoples are responding to water issues. The responses to the following questions will be synthesized into MKW reports, social media content, programmatic work, and used for other media and content development purposes. This can include but is not limited to presentations, research, improving MKW programming, and development of workshops, trainings, and educational materials for local to international dissemination. Responses to questions are anonymous (no names will be used in the public dissemination of the data; only information such as geographic regions, general distinctions like “Indigenous Peoples” or “youth,” and similar information will be used), optional, and you can choose not to answer them. By completing the questions, you agree to hold harmless, and release Mni Ki Wakan, “MKW,” its employees, staff, consultants, and organizers from any and all liability claims, authorizing them (“MKW”) to utilize the data for the aforementioned purposes including and not limited to any other related purpose mentioned in this form.
YOUTH REGISTRANT (UNDER 18) TERMS & CONDITIONS
An adult/group coordinator must complete this form if the registrant (s) are/is under 18 years of age. Youth under 18 years of age must be accompanied by an adult at all times. Organizations, programs, parents, or guardians assume full responsibility and liability for youth registrant (s) under the age of 18. By signing and registering a youth (s) under 18 years of age, you are verifying that you have obtained parental/guardian consent and the documentation to do so. The authorizer, parent, or guardian is solely responsible for the youth registrant and all associated responsibilities.
MEDIA RELEASE, LIABILITY WAIVER, & COVID-19 HEALTH & SAFETY PROTOCOLS
Our team is building a Mni KI Wakan Ecosystem where Indigenous Peoples and youth are creating a transformative and sustainable future for water and all life together. We invite you to join our newsletter; receive updates, news, event info, and other relevant information.
Enter number of group members below, and proceed to payment window by clicking submit. Have a debit/credit card on hand.