Author: Freida Maloney

Registration Form
Name of Organization:________________________________________________________________
Contact Person:_____________________Individuals at the Booth:__________________________
__________________________________________________________________________________
Address:______________________City:_________________State:____________Zip:____________
Phone Number:_________________Fax Number:________________E-Mail:____________________
Booth Information
Informational Booth o Games or Activity Booth o
Free Food o Yes o No Electricity Needed o Yes o No
Booth Set-Up Between 7:00-7:45AM - Booth Sizes are Limited to 10’x10’ - Don’t Forget Your Own Tables and Chairs
Please complete this form and return to Diné YOUTH before October 13, 2015.
210 South Main Street - Tuba City, Arizona - West of Old Community Center - Phone: (928) 283-3021/3022 Fax: (928) 283-3048 - Email: TyCashManson@live.com