Untitled Header Image NDHSA - encouraging and assisting home educators since 1985
 

2020 ONLINE Registration Form

* indicates a required answer.

We are excited that you have chosen to attend our 2020 Convention.

Only PayPal payments will be accepted. 

Your registration form will be received once you click submit below.  Payment is due immediately at the completion of this form on the next page.  If for some reason you change your mind about registering online, please notify us at kapklan@gondtc.com

Please list only those attending.

1. *

Last Name

2.

Husband's First Name (if attending)

3.

Wife's First Name (if attending)

4. *

Mailing Address

5. *

City

6. *

State

7. *

Zip Code

8. *

County

9. *

Phone Number

10. *

Email Address

11.

I am a NDHSA Member

Yes No
12.

I would like to become an NDHSA member or renew my membership for $35.

If you choose to become a member, you may take the discounted prices on this form.

Yes No

List ALL attendees including adults, teens, etc. ages 6 and above

13. *

Name of first attendee

14.

This attendee is a....

15.

Name of second attendee

16.

This attendee is a....

17.

Name of third attendee

18.

This attendee is a....

19.

Name of fourth attendee

20.

This attendee is a....

21.

Name of fifth attendee

22.

This attendee is a....

23.

Name of sixth attendee

24.

This attendee is a....

25.

Name of seventh attendee

26.

This attendee is a....

27.

Name of eighth attendee

28.

This attendee is a(n)...

29.

Name of ninth attendee

30.

This attendee is a....

31.

Name of tenth attendee

32.

This attendee is a(n)....

List all attendees age 5 and under--FREE

33.

Name of first attendee age 5 and under

34.

Name of second attendee age 5 and under

35.

Name of third attendee age 5 and under

36.

Name of fourth attendee age 5 and under 

37.

Name of fifth attendee age 5 and under 

38.

Used Book Sale Booth--NDHSA Member $35 (Includes one table)

No Yes
39.

Used Book Sale Booth--Non Member $40 (Includes one table)

No Yes
40.

EXTRA Used Book Sale Table--$10 (Choose # of extra tables)

41.

Friday Taco Bar Lunch Buffet--$10 (Select # of meals)

42.

Saturday Soup & Sandwich Lunch Buffet--$10  (Choose # of meals)

TEEN TRACK w/ Generation Joshua (extra fee of $50 per student)

43.

Teen #1 Name

44.

Teen #2 Name

45.

Teen #3 Name

46.

Teen #4 Name

47.

VOLUNTEER: Contact me regarding volunteer positions listed under the 2020 Convention popout at www.ndhsa.org.

Yes No
48.

DISCLAIMER:  Photographs and video taken by NDHSA representatives and others at this event may appear in the convention book, NDHSA website, social media pages, or other publications at the discretion of the NDHSA Board.  Any photographs, video, or audio used by NDHSA will be used with the purpose of celebrating and promoting home education.

Yes, I agree

Once you click "SUBMIT" below, you'll be taken to the finance page to choose your options.