aleutian pribilof islands association, inc. urban unangax̂ ......page 2 of 4 urbancampyouthapp...
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Youth Schedule and Classes
JUNE 15 - 19, 9am to 5 pm
JUNE 20, 9am to 12pm
Camp Closing Ceremony & Aleut Picnic
Saturday, JUNE 20, 12pm to 3pm at the Aleut Plaza
The camp closing ceremony will be held in conjunction with the Aleut Picnic hosted by the
Aleut Foundation, on Saturday June 20 at 12pm at The Aleut Plaza on 4000 Old Seward Hwy.
BRING A DISH TO SHARE!
There will be a bus to transport camp participants from APIA at 11:45pm and will return by 3pm.
General Information
APPLICATIONS ARE DUE BY JUNE 5.
Remember to bring unfinished projects.
Elders are welcome anytime during camp—morning, afternoon, or evening.
BE RESPECTFUL TO ELDERS, OTHERS AND UNANGAM ULAA (APIA building)!
Please attend class each day; this eliminates disruption to instructors and other participants.
Please sign IN and OUT each day.
Please pick up your child/children on-time.
Please inform us if your child has food allergies, special needs or anything else we should be aware of.
If you DO NOT hear from us, your application has been accepted and you may arrive on the first day.
Questions? Email Millie at [email protected] Please email, fax or deliver completed applications to: Urban Unangax Culture Camp Aleutian Pribilof Islands Association, Inc. 1131 E. International Airport Rd. Anchorage, AK 99518-1408 [email protected] (907) 279-4351 fax
Visors with O. Patricia Lekanoff-Gregory
Sewing: Regalia & Headdress with Ann Nevzoroff
Aleut Sculpture 101 with Michael Livingston
Dance—Instructor Undetermined
Traditional Foods with Edna Floyd & Teresa Smith
Drums with M. Lydia Vincler
Model Kayaks & Carving with Teresa Smith
Genealogy with Martha Murray
Atka Basket Weaving with Agnes Thompson
Unangam Tunuu with Simeon Kuzakin and apprentice Dustin Newman
Aleutian Pribilof Islands Association, Inc.
Urban Unangax ̂Culture Camp 2015 At UNANGAM ULAA (Home of the Aleuts)
1131 E. International Airport Road
YOUTH APPLICATION (11 TO 17)
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Please email, fax or deliver completed applications to: Aleutian Pribilof Islands Association, Inc. 1131 E. International Airport Rd. Anchorage, AK 99518-1408 [email protected] (907) 279-4351 fax
Camper’s Name: Male Female
Mailing Address: Zip:
Address: (if different than above)
Regional Corporation: Shareholder ? Yes No
Tribal Affiliation: Tribal Enrollee ? Yes No
Contact Phone: Email:
SIGNATURE OF PARENT OR GUARDIAN
DATE
Relationship to camper: (grandparent, uncle, friend, etc.)
EMERGENCY CONTACT INFORMATION: (please provide at least one contact other than parent or guardian)
Emergency Contact #1:
Phone: Contact has my permission to pick-up my child: Yes No
Emergency Contact #2:
Phone: Contact has my permission to pick-up my child: Yes No
Relationship to camper: (grandparent, uncle, friend, etc.)
Parent(s)/Guardian(s):
Attended camp in previous years? Yes No Age: Date of Birth:
Regional Corp Affiliation: Shareholder/Descendant? Yes No
Tribal Affiliation: Tribal Enrollee? Yes No
Aleutian Pribilof Islands Association, Inc.
Urban Unangax̂ Culture Camp June 15-19, 2015, 9am to 5pm
June 20, 9am to 12pm
YOUTH APPLICATION (11 to 17 yrs.)
General Information
Page 2 of 4 UrbanCampYouthApp 04/15
Aleutian Pribilof Islands Association, Inc.
Urban Unangax̂ Culture Camp June 15-19, 2015, 9am to 5pm
June 20, 9am to 12pm
YOUTH APPLICATION (11 to 17 yrs.)
Class Selections
Camper’s Name: Age:
CORE CLASSES: All youth are required to participate in Genealogy with Martha Murray, Unangam Tunuu (language), and educational presentations. Look for your group on the daily schedule.
ELECTIVES: Please select 4 to 5 Elective classes below. Number choices 1-5, with 1 as your top choice, 2 as your second choice, 3 as your third choice, and so forth. Leave it blank if you want us to make as-signments. Some class sizes are limited. We will do our best to accommodate your choices.
Bentwood Visors with O. Patricia Lekanoff-Gregory
Aleut Sculpture 101 with Michael Livingston
Dance with Darling Anderson
Traditional Foods with Edna Floyd and Teresa Smith
Drums with Lydia Vincler
Atka Style basket weaving with Agnes Thompson
Model Kayaks and/or Carving with Teresa Smith
Sewing: Regalia or Headdresses with Ann Nevzoroff
You will need to purchase supplies if you wish to start regalia during camp or bring one you have already started. You can get the supplies at Black Elk Or Tandy Leather. Supplies you need to purchase for making Regalia: ~ 17 square feet of rust leather ~ 7-8 square feet of off white leather (12-15 sq ft if using only 2 colors) ~ 7-8 square feet of a 3rd color ~ A couple rolls of red and black cord, 1/8" wide leather lace.. for the woven strips.. ~ Glover needles, size 7 or the next size larger
Look for the schedule on the first day of camp! Remember to bring any unfinished projects.
PRINTED NAME OF PARENT/GUARDIAN
Page 3 of 4
General Waiver of Liability: As the Parent/Guardian of ,
I do hereby knowingly and voluntarily assume all risks, chances, and hazards relating to any personal losses or injuries which may
occur during any period of time for the activity which my child is participating. I therefore agree to hold harmless, to defend, and in-
demnify Aleutian Pribilof Islands Association, Inc. (APIAI) and its officers, agents, employees, directors and designees from any and
all claims, demands, causes of action or liability or for expenses relating to injuries, accidents, disease, property damage and/or prop-
erty loss which may occur as a result of my child’s participation in the Urban Unangax̂/Aleut Culture Camp 2015 sponsored by Aleu-
tian Pribilof Islands Association, Inc. at 1131 E. International Airport Rd., Anchorage, AK 99518 on June 15 - 20, 2015 except such
claims, demands, causes of action or liability which may be directly attributable to intentional acts of agents or employees of APIAI.
I understand that APIAI does not provide medical insurance coverage which would cover a student's injuries or actions. It wil l
be my responsibility to provide for payment of such expenses should they occur. I am aware of the hazards associated with participa-
tion in this camp. Knowing the risks involved in the activities that will occur during the camp, I give my permission for the above listed
student to participate in all scheduled activities. I also authorize any necessary emergency transportation and medical treatment to be
administered to the above named student. I understand APIA assumes no liability for such emergency transportation and medical
treatment and that such costs will be my responsibility.
IF YOUR CHILD HAS ALLERGIES, PLEASE PROVIDE THEIR FOOD. Camp staff are not trained to work with special
needs children. If your child has special needs, an adult must accompany them during camp. Please make prior contact with
us and provide an explanation. Thank you for your understanding.
Media Release: This document confirms the agreement between you and Aleutian Pribilof Islands Association, Inc.
(APIAI) regarding yourself and/or your child’s participation in the Urban Unangax̂ /Aleut Culture Camp 2015 June 15 - 20, where activi-
ties in which you and/or your child may be photographed, video-taped, or audio-taped (the Property) from time to time.
For valuable consideration received, you hereby irrevocably grant to APIAI perpetually, exclusively, and for all media through-
out the world (including print, non-theatrical, home video, CD-ROM, internet and any other electronic medium presently in existence or
invented in the future), the right to use and incorporate (alone or together with other materials), in whole or in part, photographs, video
footage, or audio taken of you and/or your child as a result of your participation in approved activities of APIAI.
You hereby agree that you will not bring or consent to others bringing claim or action against APIAI on the grounds that any-
thing contained in the Property, or in the advertising and publicity used in connection herewith, is defamatory, reflects adversely on
you, violates any other right whatsoever, including, without limitation, rights of privacy and publicity.
You hereby release APIAI, its officers, agents, employees, directors and designees from and against any and all claims, de-
mands, actions, causes of actions, suits, costs, expenses, liabilities, and damages whatsoever that you may hereafter have against
APIAI in connection with the Property.
This agreement shall not obligate APIAI to use the Property or to use any of the rights granted hereunder, or to prepare, pro-
duce, exhibit, distribute or exploit the Property. APIAI shall have the right to assign its rights hereunder, without your consent, in whole
or in part, to any person, firm or corporation.
AGREED TO AND ACCEPTED this day of , 2015
SIGNATURE OF PARENT/GUARDIAN
Please initial for verification that you have read the above.
NAME OF FAMILY DOCTOR, CLINIC, OR MEDICAL FACILITY PHONE NUMBER
Aleutian Pribilof Islands Association, Inc.
Urban Unangax̂ Culture Camp General Waiver of Liability & Media Release
UrbanCampYouthApp 04/15
PRINTED NAME OF CHILD
Lunch at Arctic Roadrunner Permission Slip
Location The Arctic Roadrunner, 5300 Old Seward Highway
Date Undetermined day, but will be between June 15 and June 19, 2015
Time 11:45am to 1:30 pm. We will walk there and back.
Info
In the past, Arctic Roadrunner has donated lunch for our campers. We do not have a confirmed donation yet, but want to have the permission slip ahead of time. If Arctic Roadrunner donates lunch, campers ages 11 to 17 will be accompanied by several adults and will walk the Campbell Creek Trail behind APIA or walk directly down International Airport Road to Arctic Roadrunner. The donation includes a cheeseburger and a coke. If your child would like to purchase additional items, such as French fries, they will need CASH (Arctic Roadrunner takes CASH ONLY.) Next time you dine at Arctic Roadrunner, look for the Aleutian kayak hanging on the wall. It was built by students of the 2010 Urban Unangax Culture Camp.
I give my child, , permission to participate on the lunch
field trip to the Arctic Roadrunner during the Urban Unangax Culture Camp, June 15-20, 2015.
Parent or Guardian signature Date
Aleutian Pribilof Islands Association, Inc.
Urban Unangax̂ Culture Camp 2015 Permission Slips
Aleut Picnic—Camp Closing Picnic Permission Slip
Location The Aleut Plaza, 4000 Old Seward Highway
Date Saturday, June 20, 2015
Time 12:00pm to 3:00pm
Info The camp closing ceremony is being held in conjunction with the annual Aleut Picnic. All Campers and their family are welcome! Bus transportation for camp participants will be provided by Reliable Bus Service. If you will be taking your child home from the picnic, please indicate below.
My child will NOT be riding the bus to or from the Aleut Picnic.
My child will ride the bus TO and FROM the Aleut picnic and I will pick them up at APIA at 3pm.
My child will ride the bus TO the Aleut picnic but will NOT ride the bus back to APIA.
I don’t’ know yet.
I give my child, , permission to ride the bus to the Aleut
Picnic on Saturday, June 20, 15-20, 2015.
Parent or Guardian signature Date
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