Youth & Elders Honoring

Youth & Elders Honoring

If you have multiple attendees or honorees please fill out one form per person.
Register Attendee *

First NameLast Name
Do you need to register a student or honoree?*

YesNo, just attending
Attendee Email*
example@example.com
Attendee Phone Number*
Please enter a valid phone number.
Attendee dietary restriction & food allergies*
Will you be bringing additional guests who will not be registered as a student/honoree? Please provide a number.*
Please provide the total number of people in your party
Is the honoree:*

An ElderA Student
Student/Honoree*

First NameLast Name
Student/Honoree Email
example@example.com
Student/Honoree Phone Number
Please enter a valid phone number.
Student/Honoree Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student/Honoree Food Allergies & Dietary Restrictions
Please list any food allergies & dietary restrictions, we will try to accommodate restrictions
Student/Honoree Tribal Affiliation, if applicable
Is the student/honoree graduating this year?*

YesNo
What is the student/honoree's education level?*
What school or institution did the honoree attend this year*
Please enter the name of your school (preK, K-12), trade/apprenticeship program, or college/university
Is the student/honoree receiving services from NAYA?*

YesNo
Are you interested in receiving services from NAYA*

YesNo
Event Details

This next section will refer to the day of the event. This event provides those being honored an opportunity to say their name, age, tribal affiliation, school they attend, grade level continuation or completion, and to share something they are looking forward to in the coming year. This is done on-stage during the event. However, if you will not be in attendance for the event we ask that the honoree record a video introduction so that we may still honor them during the event. Please answer the following questions based on if the honoree will be in attendance for the event.
Will the honoree be attending the event in-person and thus be able to provide their introduction?*

Yes, the honoree will attend in-personNo, the honoree will not be able to attend in-person and will provide a video
If you answered no, would you like assistance recording your video?*

YesNo
Upload honoree video

If a video is not submitted we will follow up with you. If you are having difficulty contact: aunac@nayapdx.org
Cancelof
Should be Empty:

Youth & Elders Honoring

Event Details