Event Registration

Event Registration Fee*
- Single Event $15.00
- Double Qualifying Event $30.00
Please list below the contact person whom NASHDA can contact with questions on the event:
Contact Name*
First Last
Contact Address*
Street Address City State ZIP Code
Club or Organization Name*
Contact Phone*
Contact Email*
Event Information for NASHDA Events page on NASHDA.com website.
Date of Event*
Date Format: MM slash DD slash YYYY
Time of Event*

: HH

MM
Event Contact Information*
Club or Organization putting on the Event*
Event Location*
Street Address City State ZIP Code
Website or Facebook page?
Judge of the Event*
Is this Event a...*
Confirm Insurance*
Event organizer listed above must make sure that they have insurance and that the grounds are covered by an insurance policy. Please check sign in the box that you have confirmed insurance.
- Yes, this event will be covered by an Insurance Policy.
Select how you would like to pay for your Event**
- I want to pay online (PayPal no account needed)
- I want to mail a check
Your Total
$0.00
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Membership includes:

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