Paiute Indian Tribe of Utah - Member Registration

Please complete and submit the registration form below. Your information will be processed by the enrollment department. If the information you submit below matches our records, we will contact you with login credentials which you can use to browse protected content.

Note: All fields are required.

Email Address
Confirm Email
First Name
Last Name
Band
Cell Phone
Other Phone
Physical Address
Mailing Address
City
State
Zip
I certify that I am submitting this request for myself, not on behalf of another, and that the information provided above is true and correct.