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First Name:

Last Name:

What name do you go by?

Gender

Male
Female
Non-binary / third gender
Prefer not to say

What are your pronouns?

If you are member of a federally recognized tribe, please note your tribal affiliation.

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Do you receive free or reduced lunch?

Yes
No

Date of Birth:

Street Address:

City:

State:

Zip Code:

Phone Number:

(Please include area code)

E-Mail Address:

Parent Name

Parent Email

Parent Phone Number

No tribal affiliation (skip question)
Absentee-Shawnee Tribe of Indians
Alabama-Quassarte Tribal Town
Apache Tribe of Oklahoma
Caddo Nation of Oklahoma
Cherokee Nation
Cheyenne and Arapaho Tribes
Chickasaw Nation
Choctaw Nation of Oklahoma
Citizen Potawatomi Nation
Comanche Nation
Delaware Nation
Delaware Tribe of Indians
Eastern Shawnee Tribe of Oklahoma
Fort Sill Apache Tribe
Iowa Tribe of Oklahoma
Kaw Nation
Kialegee Tribal Town
Kickapoo Tribe of Oklahoma
Kiowa Tribe of Oklahoma
Miami Tribe of Oklahoma
Modoc Tribe of Oklahoma
Muscogee (Creek) Nation
Osage Nation
Otoe-Missouria Tribe of Indians
Ottawa Tribe of Oklahoma
Pawnee Nation of Oklahoma
Peoria Tribe of Indians of Oklahoma
Ponca Tribe of Indians of Oklahoma
Quapaw Nation
Sac and Fox Nation
Seminole Nation of Oklahoma
Seneca-Cayuga Nation
Shawnee Tribe
Thlopthlocco Tribal Town
Tonkawa Tribe of Indians of Oklahoma
United Keetoowah Band of Cherokee Indians
Wichita and Affiliated Tribes
Wyandotte Nation
Other