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 applicaons to: Urban Unangax Culture Camp Aleuan Pribilof Islands Associaon, Inc. 1131 E. Internaonal 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 Unangax̂ Culture Camp 2015 At UNANGAM ULAA (Home of the Aleuts) 1131 E. International Airport Road YOUTH APPLICATION (11 TO 17)

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Page 1: Aleutian Pribilof Islands Association, Inc. Urban Unangax̂ ......Page 2 of 4 UrbanCampYouthApp 04/15 Aleutian Pribilof Islands Association, Inc. Urban Unangax Culture Camp June 15-19,

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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Page 1 of 4 UrbanCampYouthApp 04/15

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

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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.

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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

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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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