NATIVE AMERICAN TRADITION LECTURE SERIES
registration form

Yes, I would like Mr. Kelley to present his lecture(s) to my class.

Name:                                                                                                                                           

School:                                                                                                                                           

Grade taught:                                                                                                                               

Mailing Address:                                                                                                                           

E-mail:                                                                Phone:                                                                

Number of lectures:  (   ) 1    (   ) 2

Date:                                                                  Time(s):                                                               

Place:  (   ) School            (   ) Pow Wow Grounds

Is there any area of Native American history, culture or tradition that is of specific interest to your class?

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Please send this form to 645 Evansville Rd., Brownington, VT  05860-9597, or contact Ralph Swett (Chief Spirit Water) at (802) 754-6305  etpvt@aol.com

Upon receipt of this reservation form, we will confirm time and dates.  Should a conflict occur, we will contact you to arrange alternate time and dates.  Thank you!