Santa Ana Pueblo Community Library

The Tamaya Hiking Club is a teen outdoor program aimed at connecting youth to language and culture learning through outdoor experiences. Teens can partake in activities such as visiting cultural sites, national park/monuments, and exploring various outdoor interests.  

Program will include scheduled hikes at local trails or within Tamaya and workshops on various topics. Incentives will be provided for attendance. Each month participants will take a program planned trip. Upcoming outings are listed below. You may also see our Events Calendar for dates.

For more information, please contact Cassandra Zamora at (505)771-6736 or cassandra.zamora@psaedu.org.

Name of Teen (required)

Age (required)

Date of Birth (required)

Grade of School Year 2024-2025

Parent/Guardian Name (required)

Parent/Guardian Contact Number (required)

Parent/Guardian Email Address (required)

Parent/Guardian Name

Parent/Guardian Contact Number

Emergency Contact #1 Name (Other than Parent) (required)

Emergency Contact #1 Phone Number (required)

Emergency Contact #2 Name (Other than Parent) (required)

Emergency Contact #2 Phone Number (required)

Is your child vaccinated? (required)

Yes

No

Size of shirt

Size of jacket

---

Medical Emergency Information

Hospital Preference (required)

Physicians Name

Physicians Phone Number

Insurance Policy Company

Policy Number

Is your child allergic to any medications? (required)

Yes

No

Is your child allergic to any foods? (required)

Yes

No

Is an EPI PEN needed?

Please let us know of any physical and/or emotional issues in order to provide appropriate accommodations for your child.

---

In the event that my child becomes ill or injured and I am not available to take action necessary for the well-being of my child, I hereby authorize, Pueblo of Santa Ana personnel to take action necessary for the safety and well-being of my child, including securing medical treatment (at my expense)

Your Signature (required)

Confirm e-Signature

Review Electronic Records and Signatures Policy (required)

Read our Electronic Record and Signature Disclosure

I agree to use electronic records and signatures

---

I hereby release the Pueblo of Santa Ana and its respective offices, directors, employees, and agents from and against all claims, damages, liabilities, alleged or actual, which may occur in the normal participation of my child in the Tamaya Hiking Club.

Your Signature (required)

Confirm e-Signature

Review Electronic Records and Signatures Policy (required)

Read our Electronic Record and Signature Disclosure

I agree to use electronic records and signatures

---

I hereby give permission to utilize images of my child(ren) captured during regular and planned activities. This includes pictures by video, photo and digital camera. These photos will be used for the purposes of the Tamaya Hiking Club and Santa Ana Department of Education materials, publications, and social media, and I waive my rights of compensation or ownership thereto. Even if I do not approve photos to be utilized, they may be taken.

Your Signature (required)

Confirm e-Signature

Review Electronic Records and Signatures Policy (required)

Read our Electronic Record and Signature Disclosure

I agree to use electronic records and signatures

---

In the event that my child becomes ill or isn't feeling well, I understand that my child must refrain from club activities and will provide notice to Library staff. Masks are not required but optional.

Your Signature (required)

Confirm e-Signature

Review Electronic Records and Signatures Policy (required)

Read our Electronic Record and Signature Disclosure

I agree to use electronic records and signatures

---

I have read and understand the policies and procedures of the Tamaya Hiking Club as outlined above.

Your Signature (required)

Confirm e-Signature

Review Electronic Records and Signatures Policy (required)

Read our Electronic Record and Signature Disclosure

I agree to use electronic records and signatures

There was a problem saving your submission. Please try again later.

Please wait while your submission is being saved...

Submitting...Submit

Thank you, your submission has been received.