Back to School Clothes Gift Cards

First name

Last name

Phone/Contact number

We will need to contact you if there are any issues with your submission.

Email

We will contact you via email if we cannot reach you by phone.

Address

This is the address your gift card will be mailed to.

If you are unable to fill out this form or are having issues, please send an email to info@kkamik.com or call our office at 780-585-3721 for assistance.

Photo of Valid ID for parent or guardian

Please upload a valid ID of yourself

Are you an Ermineskin Cree Nation Band member?

Yes

No

Do you live in Ermineskin? (Ermineskin Resident)

Yes

No

Which one applies to you:

Parent

Grandparent

Caring for a family member's child

Child in Care

How many Ermineskin Cree Nation children (between the ages of 4-17) reside with you or are in your care ?

Only current Ermineskin Cree Nation band members between the ages of 4-17 are eligible for the back-to-school gift cards.

How many children reside with you (including non ECN band members)?

How many of the children in your home are your own?

Are you the legal parent or guardian of the child(ren) eligible for gift cards? (Registered ECN member, aged 4-17)

Yes

No

Other

Child's Name and Band Number:

Birthdate of child

Year

Month

Day

Back to School Clothing Gift Card Application Form