Scholarships are primarily for lodging and meals. A limited amount of funds may be available for travel.

First Name: Last Name:

Home Address:

City: State: Zip Code:

Telephone: Email Address:

Are you Native American?Yes No

If YES, what is your tribal affiliation?

If NO, what native person attending the gathering is sponsoring you?
(Non-native spouses are WELCOME!)

Are you an Elder? Yes No

Are you a Youth (age 18 - 25)? Yes No

Are you disabled? Yes No

Briefly describe your scholarship need for lodging, meals, and if necessary for travel:

Are you willing to volunteer at the Gathering? Yes No

Do you have any physical challenges that would prevent you from doing camp chores? Yes No

If so, please describe:

Which of the following volunteer opportunities would you be interested in?
(Select one and type in your second choice in Other box)
Assist with meal preparations Assist with meal cleanup Assist with cabin cleanup on Sunday
Assist with Powwow setup/cleanup Assist with talent show setup/cleanup Assist with group sessions
Assist with maintaining the sacred fire Assist with cooking meals Assist with group picture
Assist with Evaluations Assist with Give Away

Other (please specify second choice):

Click on the Native American skills that you have or are interested in:
(Only one can be slected. In the "Other" box please type in addtional interests)
Drum Powwow Songs Stomp Traditional Chef Crafts Hand Games

Other (please specify):

Do you have any special skills or abilities to contribute?
Yes No
If YES, please list:

Will you be performing in the Talent Show?
Yes No

Will you be assisting with the Traditional Meal?
Yes No

Do you have any medical or dietary restrictions?
Yes No
If YES, please explain:

Emergency Contact Name: Phone Number:

Where will you be staying?
RV Tent Semi-Private Cabin*
I arrive on (mm/dd/yy & time): and depart on (mm/dd/yy & time):

I, the undersigned, understand and agree to release the Montana Two Spirit Society, FDH & Associates, their members and officers, designated assistants, other attendees, affiliated groups and persons, and all Tamaracks Resort personnel from any and all liability including all degrees of physical and/or mental injury, property damage, loss, or theft that may be incurred as a result of my attendance at the Montana Two Spirit Gathering. I understand and accept that attendance is purely at my own risk. I agree to the strict no drug or alcohol rule and realize that I may be asked to leave if I violate this policy. I understand that local, state or national media outlets may be present during the Gathering and that my name or contact information will not be given to reporters unless authorized by me. I have filled out this form fully and completely to the best of my knowledge.

Electronic signature (type name in full CAPS): Date (mm/dd/yy):
* Note: FDH & Associates will assign cabins based on availability.

Other additional comments: