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2022 ONLINE Convention Registration

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We are excited that you have chosen to attend our 2022 Convention.
  • Only PayPal payments will be accepted. 
  • We will receive your registration form once you click SUBMIT below. 
  • If for some reason you change your mind about registering online and have already clicked the SUBMIT button,  please notify us at [email protected]
  • Keep track of what you have chosen on this first page as you will be asked for numbers selected of each item on following payment page.

Please list ONY 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. *

Phone Number

9. *

Email Address

10. *

I am a NDHSA Member

Yes No
11. *

I would like to become an NDHSA member or renew my membership for $45.

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.

12. *

Name of first attendee

13. 

This attendee is a....

14. 

Name of second attendee

15. 

This attendee is a....

16. 

Name of third attendee

17. 

This attendee is a....

18. 

Name of fourth attendee

19. 

This attendee is a....

20. 

Name of fifth attendee

21. 

This attendee is a....

22. 

Name of sixth attendee

23. 

This attendee is a....

24. 

Name of seventh attendee

25. 

This attendee is a....

26. 

Name of eighth attendee

27. 

This attendee is a(n)...

28. 

Name of ninth attendee

29. 

This attendee is a....

30. 

Name of tenth attendee

31. 

This attendee is a(n)....

List all attendees age 5 and under--FREE

32. 

Name of first attendee age 5 and under

33. 

Name of second attendee age 5 and under

34. 

Name of third attendee age 5 and under

35. 

Name of fourth attendee age 5 and under 

36. 

Name of fifth attendee age 5 and under 

37. *

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

No Yes
38. *

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

No Yes
39. 

EXTRA Used Book Sale Table--$10 (limit of one)

40. 

Friday Lunch--$10  Select # of meals (Sloppy Joe or 1/4# beef hot dog, chips, baked beans, cole slaw, dessert & drink) 

41. 

Saturday Lunch--$10  Choose # of meals (Taco Buffet--ground beef, tortillas, chips, toppings, Mexican rice, refried beans, dessert & drink)

42. *

VOLUNTEER: Sign up for volunteer positions listed under the 2022 Convention popout at www.ndhsa.org.

Yes No
43. *

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

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