Youth Leadership Training Registration

Registration for Youth Leadership Training at the Navajo Preparatory School in Farmington, NM on June 8th – 10th, 2026

Registering for:(Required)

I am registering for the following Youth Leadership Training event: (Required)

Date of Birth(Required)

SSN(Required)

Phone(Required)

Please click on the left side of the field to enter your number.

Email(Required)

Name of School(Required)

Grade(Required)

Census #(Required)

Community of Residence(Required)

(Where you currently reside.)

Chapter(Required)

List food allergies:(Required)

T-shirt size:(Required)

Accommodations needed:

Do you need any accommodation during the event such as wheelchair accessibility, visual aids, etc. If so, please describe:

Emergency Contact(Required)

Name of Emergency Contact (Required)

Emergency phone(Required)

Phone of Emergency Contact (Required)

Youth Leadership Training Event
Ignite the Leader Within