Dahayoigii 2026 Student Registration

Dahayoigii 2026 Student Registration
Student Information
Student Name

First NameLast Name
Student Age
Grade (4th - 12th). *** Student must be in the 4th grade or above***
Is this a Returning Student?
Student Gender
Student Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Legal Guardian Information
Parent/Legal Guardian Name

First NameLast Name
Relation to Student:
Parent/Legal Guardian Email
example@example.com
Parent/Legal Guardian Phone Number

Area CodePhone Number
Emergency Contact Name

First NameLast Name
Emergency Contact Phone Number

Area CodePhone Number
Program Information

IMPORTANT: Parents/guardians you must check students in everyday of the event. NO DROP OFFS. Breakfast and lunch provided by Central Consolidated School District.
Select Course
T-Shirt Size (Youth Sizes)
Parental Consent and Medical Release:

It is required of the parent and/or legal guardian of the above-registered student to sign and submit a Parental Consent Release and Medical Release form upon check-in, at registration on June 8th, 2026.
Event Information

Location: Mesa Elementary School, US 491 on Mesa Rd. Shiprock, NM (Near Nizhoni Smiles)

Event Hours: Monday, June 8, Registration begins at 8:00 am

Monday, June 8, 8:30 am-3:30 pm

Tuesday, June 9, 8:30 am-3:30 pm

*Wednesday, June 10, 8:30 am- 2:30 pm

*Lunch and Breakfast provided by Central Consolidated School District. Snacks will be provided by Sacred Youth Foundation
Are there any medical conditions that we should be aware of?
Please leave a brief description
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Dahayoigii 2026 Student Registration

Student Information

Parent/Legal Guardian Information

Program Information