The 4th NACAC Under-23 Championships in Athletics were held in Santo Domingo, Dominican Republic on July 7–9, 2006.

A detailed report on the results was given.

[1] Medal winners are published.

[2] Complete results can be found on the Athletics Canada,[3] the AtletismoCR,[4] the CACAC[5] and the USA Track & Field[6] website.

*   Host nation (Dominican Republic)The participation of 373 athletes from all 32 NACAC member federations was reported.