TRIBAL PROGRAM NEWS
Sign Up Now for Siletz Tribal
Youth Conference
Who’s invited: All enrolled Siletz
Tribal youth age 12 to 18, regardless of
residence. Descendents will be
considered after Aug. 2 depending on
available space.
Setting and schedule: Our group
will stay in the Siuslaw National Forest
at Drift Creek Camp outside of Lincoln
City. All campers will be accommo
dated in the main building on three
different gender specific floors.
Conference activities will begin with
dinner on Aug. 24 and conclude mid-
afternoon on Aug. 26.
All conference sessions will
include interactive and “teen” building
workshops with foundations in Siletz
history, language, culture, and
education. We’ll offer fun evening
activities, including feather dancing,
storytelling, hip-hop dance, games,
basketball tournament, swimming, and
s’mores by the campfire!
Things to Bring
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Bath towel and facecloth
Hairbrush or comb
Swimsuit
O.
Siletz News
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Close-toed shoes to swim in
Any personal care items
Clothing for two days
Light jacket or sweatshirt
Nighttime clothing acceptable for
walking to separate bathroom
Any medicine needed (please have
youth check all medicines in with
resident RN)
Any favorite board games to share
Sleeping bag and pillow (if you do
not have a sleeping bag, one can
be provided for you)
Things to leave home
(contraband)
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All tobacco products, alcohol, and
any illegal drugs
All weapons, including pocketknives
Personal electronics (i.e. Game
Boy) and CD players
Valuables and money
Cell phones
Youth Behavior Contract
To make sure everyone has a safe
and positive experience, we will expect
each person to treat themselves and
others with dignity and respect.
Violence and verbal harassment will not
be tolerated. We will inform youth of
Drift Creek Camp rules and then will
expect compliance, including rules
related to respectful use of the
conference grounds and facilities, and
observance of established quiet times.
Youth will leave contraband home
or it will be confiscated. Youth will be
assigned to a supervising adult and will
be responsible for keeping this adult
aware of his/her location at all times
during the conference.
Violations of this behavior contract
or disputes between youth will be
referred to a conflict resolution panel
of youth and adults. If violations are
sufficiently severe, consequences can
include dismissal from the conference.
Transportation: We are happy to
assist in transporting youth. Vans will
travel from each CTSI area office in the
afternoon of Aug. 24 and return late
afternoon on Aug. 26. Departure times
vary. We regret that we generally will
be unable to pick up/drop off youth
individually at their homes.
□ . July 2004.
Preference for applications returned by Aug. 2
Deadline for all applications is Aug. 16
Siletz Tribal Youth Coming
Together: Native Style
Youth Registration Form
Name:________________________________________________________
Address: ______________________________________________________
City/State/ZIP: _______________________ County:_________________
Home Phone: __________________________________________________
Age as of Aug. 24, 2004: __________________
Gender: F M
Enrolled or Descendent Roll No.: ___________
Interested in being a junior counselor (must be 16 or older)? Yes No
Any special health needs? _______________________________________
Any prescribed medications?_____________________________________
Special dietary needs? __________________________________________
Do you have any food, medication, or environmental allergies?
Will you need transportation assistance to and from the conference?_____
Will you be able to bring a sleeping bag and pillow from home?________
Name(s) of custodial parent(s) or guardian(s): ______________________
Parent phone: __________________________________________________
Please list one additional emergency contact for this youth during the
conference weekend: ___________________________________________
Name and phone: ______________________________________________
Parental Permission and Youth Behavior Contract
As the parent of the youth listed above, I deem my child mature enough to
participate in this overnight group activity. 1 have listed emergency phone
numbers above and also grant my permission for this minor to be treated in
the event of an emergency during the conference.
We understand that a space reserved represents a commitment to participate
and may mean that another youth cannot participate. We agree to inform staff
promptly if he/she will be unable to attend for any reason. I have reviewed the
Youth Behavior Contract with my child and he/she understands the
consequences of violations.
Parent Signature
Youth Signature
Please indicate on the registration
if youth will need transportation and we
will contact you, or call the following
staff for more information:
Siletz: Alissa Lane, Siletz Clinic,
541-444-9671 or 1-800-648-0449,
ext. 1671
Portland: Katy Kaady, 503-238-1512
Salem: Sonya Moody-Jurado,
503-390-9494
Eugene: Miranda Strong, 541-484-4234
Date
S iletz T ribal Y outh
C oming T ogether