Online Member Registration

Welcome to our Online Registration page. This form is used to register with the Katori Nation.

Please fill out the form below for each child. If you have more than one child, you will be filling out the Dad's information for each child. This is to insure that the Dad's information is matched to each child's information.

Tribe and Position
I am Chief of this tribe
I am Assistant Chief of this tribe
I am willing to be a Mentor

I have a Nation's Officer position
with the Katori Nation:
Dad's Last Name
Dad's First Name
Dad's Indian Name
Email
Please type carefully - this is your official contact email address with the Nation.
Address
City
Zip
Home Phone
Work Phone
Mobile
Child's Last Name
Child's First Name
Child's Indian Name
Child's Birthday (MM/DD/YY)
Child's Sex M   F  
Grade K   1st   2nd   3rd   4th up  
Child's School
Child's Subdivision
Mom's Name
Comments

If you have room in your tribe for more members, or are new and would like to join a tribe with another person, please include a comment with as much information as possible.
In addition, we request the following:
Dad's Employer
Dad's Employer Address
Mom's Employer
Mom's Employer Address
Mom's Work Phone
Income
Emergency Contact Name
Emergency Contact Phone
I agree that the Katori Nation shall not be responsible for any personal injuries or losses sustained by me while on any Katori Nation premises, or as a result of any activities. I further agree to indemnify and save harmless the Katori Nation from any claims or demands arising out of any such injuries or losses.

Recent News Updates

7/20/2010  2010-2011 Officers 
8/1/2010  Joining Info on Membership Page 
8/12/2010  2010-2011 Calendar ONLINE!!! 
8/12/2010  pdf version of calendar 
8/14/2010  INFORMATION FLYER (click here) 
8/14/2010  OPEN HOUSE 9/19! click for info 
8/23/2010  Registration instructions for new and returning members. 
8/24/2010  Trailblazer event descriptions posted 

For additional information, please call the Katy YMCA at 281-392-5055
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