2026 CONVENTION REGISTRATION

2026 NDHSA CONVENTION REGISTRATION
Name*

First NameLast Name
Spouse's Name (if attending)

First NameLast Name
MAILING ADDRESS*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
CONTACT EMAIL*
CONTACT PHONE NUMBER*
Please enter a valid phone number.
Membership status will be verified. If you have questions about your membership status, please contact the office at 701-936-0356.

Listed below is the pricing for the convention for both members and non-members.

Member Adult- $30

Non-member Adult- $45

Member Teen- $20

Non-member Teen- $35

Children(6-12)- $15

Member Family Rate- $120

Non-member Family Rate- $170
NDHSA Membership (NDHSA members receive discounted registration)*

Current member and would like to renew my membership. - $45Current memberNon-member and would like to become a member- $45Non-member
There will be concession stands open for limited hours TBD at a later date. NO OUTSIDE FOOD OR BEVERAGES ARE ALLOWED IN THE EVENT CENTER.
Vendor hall passes will be available for purchase at the door, no pre-registration vendor hall passes will be sold.
HOW WOULD YOU LIKE TO PAY?*

MAIL A CHECKCREDIT CARD
IF PAYING BY CHECK PLEASE MAIL YOUR CHECK TO :

NDHSA

9198 98TH ST SE

ELLENDALE, ND 58436
NDHSA Member registration sub total

Please select the total number of Family Members attending if the total comes out to be over $120 the form will max out at the discounted family rate for members of $120.
NDHSA Member Adults - $30
NDHSA Member Single Parent. (unmarried) - $20
NDHSA Member Teen Registration- $20
Teen 1

First NameLast Name
Teen 2

First NameLast Name
Teen 3

First NameLast Name
Teen 4

First NameLast Name
Teen 5

First NameLast Name
Teen 6

First NameLast Name
Teen 7

First NameLast Name
Teen 8

First NameLast Name
Teen 9

First NameLast Name
Teen 10

First NameLast Name
NDHSA Member Child (6-12)- $15
Child 1

First NameLast Name
Child 2

First NameLast Name
Child 3

First NameLast Name
Child 4

First NameLast Name
Child 5

First NameLast Name
Child 6

First NameLast Name
Child 7

First NameLast Name
Children (5 and under)- FREE
Child 1

First NameLast Name
Child 2

First NameLast Name
Child 3

First NameLast Name
Child 4

First NameLast Name
Child 5

First NameLast Name
Child 6

First NameLast Name
Grandparent, Head or Asst. Pastor or Missionary (Non-homeschooling)- FREE
List any Grandparents or Pastor that will be attending with your family. Please indicate if next to the name if the individual is a Grandparent or Pastor.
NDHSA member Registration Cost (doesn't include Membership cost)

Please select total number of family members attending. If the total exceeds $170, a family rate will automatically be applied.
Non-Member Adults - $45
Non-Member Single Parent. (unmarried) - $20
Non-Member Teen Registration- $35
Teen 1

First NameLast Name
Teen 2

First NameLast Name
Teen 3

First NameLast Name
Teen 4

First NameLast Name
Teen 5

First NameLast Name
Teen 6

First NameLast Name
Teen 7

First NameLast Name
Teen 8

First NameLast Name
Teen 9

First NameLast Name
Teen 10

First NameLast Name
Child (6-12)- $15
Child (6-12)

First NameLast Name
Child 2 (6-12)

First NameLast Name
Child 3 (6-12)

First NameLast Name
Child 4 (6-12)

First NameLast Name
Child 5 (6-12)

First NameLast Name
Child 6 (6-12)

First NameLast Name
Chlld 7 (6-12)

First NameLast Name
Children (5 and under)- FREE
Child 1

First NameLast Name
Child 2

First NameLast Name
Child 3

First NameLast Name
Child 4

First NameLast Name
Child 5

First NameLast Name
Child 6

First NameLast Name
Non-Member Subtotal
Grandparent, Head or Asst. Pastor or Missionary (Non-homeschooling)- FREE
List any Grandparents or Pastor that will be attending with your family. Please indicate if next to the name if the individual is a Grandparent or Pastor.
Registration Total

Lunch and other options
Lunch - NO OUTSIDE FOOD OR DRINK ALLOWED

A catered lunch will be available daily. This year, the venue will be managing all food orders. You will be able to pre-order your selections using a link that will be sent out and our website at a later date. You will be able to note dietary needs. You can also contact the venue directly and ask for exemptions to the outside food policy if you have severe allergies. Additionally, there will be a concession stand on-site offering other lunch options. Please note that the NDHSA does not up-charge the food options.
Convention T-Shirt XS $22
Convention T-Shirt S $22
Convention T-Shirt M $22
Convention T-Shirt L $22
Convention T-Shirt XL $22
Convention T-Shirt 2XL $22
Convention T-Shirt 3XL $22
Lunch and T-shirt Totals

Optional Programs
Children's Program
Children's Program for ages 5-10- no cost
Middle School Session
These are the only two middle school sessions that require preregistration. Additional middle school sessions will be available on a first-come, first-served basis at no extra charge.
Creating a Masterpiece art class with Randy Whitman. Cost will be $12 per student for art supplies. $12 will cover both sessions. The class is limited to 30 students. This is a two session class. Please plan to attend both sessions one on Friday and the other on Saturday. Please select the number of students below.
Graduate Recognition
Graduate Recognition - no cost (Last keynote on Saturday) Graduates will be recognized on stage, receive a gift from NDHSA and there will be prayer for the graduates. ***MUST BE PREREGISTERED***
Graduate Name

First NameLast Name
Parents Names
Future Plans
Graduate Name

First NameLast Name
Parents Names
Future Plans
Used Book Sale/Home Businesses

Home Business ONLY. No Multi Level Marketing: Mary Kay, Pampered Chef, etc.
If you would like to be a seller at the used book sale, Please select the number of tables needed. ($40 for the first and $10 for each additional table)
If you would like to be a seller at the used book sale, Please select the number of tables needed. ($35 for the first and $10 for each additional table)
Support Groups
Are you currently a support group leader? Please type the name of your group below.
Are you interested in starting a support group in your area?
Are you looking for a support group in your area?

Children's Program ages 5-10
Emergency Contact*

First NameLast Name
Phone Number*
Please enter a valid phone number.
2nd Emergency Contact*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Children must be signed in when coming and signed out when picked up.
Who can pickup your child? Must be at least 14 years of age *
Is there anyone who is specially not allowed to pick up your child?
Childs name*

First NameLast Name
Age*
Allergies
Anything else that you would like us to know about this child?
Childs Name 2*

First NameLast Name
Age*
Allergies
Anything else that you would like us to know about this child?
Childs Name 3*

First NameLast Name
Age*
Allergies
Anything else that you would like us to know about this child?
Childs Name 4*

First NameLast Name
Age*
Allergies
Anything else that you would like us to know about this child?
Childs Name 5*

First NameLast Name
Age*
Allergies
Anything else that you would like us to know about this child?
Childs Name 6*

First NameLast Name
Age*
Allergies
Anything else that you would like us to know about this child?
Childs Name 7*

First NameLast Name
Age*
Allergies
Anything else that you would like us to know about this child?
Childs Name 8*

First NameLast Name
Age*
Allergies
Anything else that you would like us to know about this child?

Checks must be postmarked by February 11th in order to be preregistered and receive the early bird discount.
PLEASE MAIL YOUR CHECK TO :

NDHSA

9198 98TH ST SE

ELLENDALE, ND 58436
Total Amount Due
I would like to add a tax deductible gift for the amount below.
Please pay the amount below
I agree to mail in a check for the above amount. If a check is not sent on or before February 11th, my registration will be void.*

I agree

Payments are processed using Square.
I would like to add a tax deductible gift for the amount below.

Total Amount Due

USDDescription

Credit Card

Charged to credit card

No refunds will be given except in the case of medical emergency.
Photographs and video taken by NDHSA representatives and others at this event may appear in the convention publicity at the discretion of the NDHSA Board.
Questions?Please contact Amber at sand723627@gmail.com or 701-535-1335.If you do not receive a confirmation email, your submission may not have gone through. In that case, please call Amber directly.
Notes
Should be Empty:

2026 NDHSA CONVENTION REGISTRATION

There will be concession stands open for limited hours TBD at a later date. NO OUTSIDE FOOD OR BEVERAGES ARE ALLOWED IN THE EVENT CENTER.

Vendor hall passes will be available for purchase at the door, no pre-registration vendor hall passes will be sold.

Please select the total number of Family Members attending if the total comes out to be over $120 the form will max out at the discounted family rate for members of $120.

Please select total number of family members attending. If the total exceeds $170, a family rate will automatically be applied.

Lunch and other options

Lunch - NO OUTSIDE FOOD OR DRINK ALLOWED

Optional Programs

Children's Program

Middle School Session

Graduate Recognition

Used Book Sale/Home Businesses

Support Groups

Children's Program ages 5-10

Children must be signed in when coming and signed out when picked up.

Checks must be postmarked by February 11th in order to be preregistered and receive the early bird discount.

Payments are processed using Square.

Credit Card

No refunds will be given except in the case of medical emergency.

Photographs and video taken by NDHSA representatives and others at this event may appear in the convention publicity at the discretion of the NDHSA Board.

Questions?Please contact Amber at sand723627@gmail.com or 701-535-1335.If you do not receive a confirmation email, your submission may not have gone through. In that case, please call Amber directly.