Blog
Parenting
Moms Connect
Circle of Security
>
COS Missoula Registration
COS Mission Valley Registration
The Parent Team
>
Registration
Workshops
Family Retreats
Dads & Dialogue
Duluth Model
Consultations
Mending Broken Hearts
>
Mending Broken Hearts Registration
Teens & Community
MT Happiness Project
Inner Roads
Community Mentorship
>
Community Mentorship Application
Dream Bigger MT
>
DB Application
UM Workshops
Resources
Family Fun
Kindergarten Summer Camp
Fairy Activity Kits
Exhibit Rentals
Play-based Partnerships
Upcoming Events
Events
Golf Tournament
Cornhole Tournament
ABOUT
About
Contact
Sign Up For our Newsletter!
Staff
Board of Directors
>
Login
Governance Committee
Finance Committee
Fund Development Committee
Get Involved
Parent Educators
Childcare Providers
Join Our Team
Donate
Monthly Giving
Giving Tuesday
Blog
Parenting
Moms Connect
Circle of Security
>
COS Missoula Registration
COS Mission Valley Registration
The Parent Team
>
Registration
Workshops
Family Retreats
Dads & Dialogue
Duluth Model
Consultations
Mending Broken Hearts
>
Mending Broken Hearts Registration
Teens & Community
MT Happiness Project
Inner Roads
Community Mentorship
>
Community Mentorship Application
Dream Bigger MT
>
DB Application
UM Workshops
Resources
Family Fun
Kindergarten Summer Camp
Fairy Activity Kits
Exhibit Rentals
Play-based Partnerships
Upcoming Events
Events
Golf Tournament
Cornhole Tournament
ABOUT
About
Contact
Sign Up For our Newsletter!
Staff
Board of Directors
>
Login
Governance Committee
Finance Committee
Fund Development Committee
Get Involved
Parent Educators
Childcare Providers
Join Our Team
Donate
Monthly Giving
Giving Tuesday
"MENDING AND LETTING GO, ONE CLASS AT A TIME"- PARTICIPANT
Adult Track Registration
*
Indicates required field
Name
*
First
Last
Phone Number
*
Email
*
Age
*
Tribal Affiliation
*
How did you hear about Mending Broken Hearts?
*
Do you have any special needs for learning in a classroom? If so, please indicate what your needs are.
*
Do you have any dietary restrictions we should be aware of? *
*
CHILDCARE: Childcare will be provided for each class by trained childcare providers from Fun and Fancy-Free Learning Center. Please list the number of children you would be bringing with you and the ages below. Please include any special needs or allergies as well. *
*
PHOTO RELEASE: By selecting yes, you are granting permission to Families First to take photos and/or videos of you for the purpose of publication, promotion, and/or advertising. *
*
Yes
No
CODE of CONDUCT: By selecting yes, you agree to comply with all applicable federal, state and local laws including health and safety codes and KwaTaqNuk rules. You agree to cooperate with Hotel and any relevant governmental authority to ensure compliance with such laws. For the safety of persons and property, no fireworks or incendiary devices may be used on KwaTaqNuk property. You assume full responsibility for the conduct of yourself in attendance at this event and for any damage that you may cause to part of KwaTaqNuk premises during the time of your stay.
*
Yes
Submit
Youth Track Registration
*
Indicates required field
Name
*
First
Last
Email
*
Name of Parent/Guardian Attending the Adult Track
*
Age
*
Tribal Affiliation
*
Do you have any special needs for learning in a classroom? If so, please indicate what your needs are.
*
Do you have any dietary restrictions we should be aware of? *
*
PHOTO RELEASE: By selecting yes, you are granting permission to Families First to take photos and/or videos of you for the purpose of publication, promotion, and/or advertising. *
*
Yes
No
CODE of CONDUCT: By selecting yes, you agree to comply with all applicable federal, state and local laws including health and safety codes and KwaTaqNuk rules. You agree to cooperate with Hotel and any relevant governmental authority to ensure compliance with such laws. For the safety of persons and property, no fireworks or incendiary devices may be used on KwaTaqNuk property. You assume full responsibility for the conduct of yourself in attendance at this event and for any damage that you may cause to part of KwaTaqNuk premises during the time of your stay.
*
Yes
Submit