"*" indicates required fields Step 1 of 4 – Registrants 25% This field is hidden when viewing the formDate MM slash DD slash YYYY This field is hidden when viewing the formTime Hours : Minutes AM PM AM/PM Primary Registrant*Name of the primary registrant: First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Phone*Cell PhoneEmail* Enter Email Confirm Email Can we share your email?*Email address will only be shared with the NEC. Yes No Primary registrant's prior conventions:*Number of National Square Dance Conventions attended prior to the 74th NSDC:Please enter a number from 0 to 73.Did you pre-register?* Yes No Adult RegistrationPrice per adult increases to $85 on May 1st, 2025. Price: How many adults are you registering?*Please enter a number from 1 to 4.How many adults did you pre-register?Please enter a number from 1 to 4.2nd Adult Name* First Last 2nd Adult's prior conventions:*Number of National Square Dance Conventions attended prior to the 74th NSDC:Please enter a number from 0 to 73.3rd Adult Name* First Last 3rd Adult's prior conventions:*Number of National Square Dance Conventions attended prior to the 74th NSDC:Please enter a number from 0 to 73.4th Adult Name* First Last 4th Adult's prior conventions:*Number of National Square Dance Conventions attended prior to the 74th NSDC:Please enter a number from 0 to 73.Youth (ages 5-17) RegistrationAges *5-17* by June 25th, 2025. Youth under 5 years old on June 25th, 2025, are free. Price: How many youths (ages 5-17) are you registering?Price per youth (ages 5-17) increases to $42.50 on May 1st, 2025. Please enter a number from 0 to 8.How many youths did you pre-register? Please enter a number from 0 to 8.1st Youth's name* First Last 1st Youth's prior conventions:*Number of National Square Dance Conventions attended prior to the 74th NSDC:Please enter a number from 0 to 73.1st Youth's Date of Birth* MM slash DD slash YYYY 2nd Youth's name* First Last 2nd Youth's prior conventions:*Number of National Square Dance Conventions attended prior to the 74th NSDC:Please enter a number from 0 to 73.2nd Youth's Date of Birth* MM slash DD slash YYYY 3rd Youth's name* First Last 3rd Youth's prior conventions:*Number of National Square Dance Conventions attended prior to the 74th NSDC:Please enter a number from 0 to 73.3rd Youth's Date of Birth* MM slash DD slash YYYY 4th Youth's name* First Last 4th Youth's prior conventions:*Number of National Square Dance Conventions attended prior to the 74th NSDC:Please enter a number from 0 to 73.4th Youth's Date of Birth* MM slash DD slash YYYY 5th Youth's name* First Last 5th Youth's prior conventions:*Number of National Square Dance Conventions attended prior to the 74th NSDC:Please enter a number from 0 to 73.5th Youth's Date of Birth* MM slash DD slash YYYY 6th Youth's name* First Last 6th Youth's prior conventions:*Number of National Square Dance Conventions attended prior to the 74th NSDC:Please enter a number from 0 to 73.6th Youth's Date of Birth* MM slash DD slash YYYY 7th Youth's name* First Last 7th Youth's prior conventions:*Number of National Square Dance Conventions attended prior to the 74th NSDC:Please enter a number from 0 to 73.7th Youth's Date of Birth* MM slash DD slash YYYY 8th Youth's name* First Last 8th Youth's prior conventions:*Number of National Square Dance Conventions attended prior to the 74th NSDC:Please enter a number from 0 to 73.8th Youth's Date of Birth* MM slash DD slash YYYY Youth (ages 0-4) RegistrationYouth under 5 years old on June 25th, 2025, are free. Price: How many youths (ages 0-4) are you registering?Please enter a number from 0 to 4.1st Youth's name* First Last 1st Youth's prior conventions:*Number of National Square Dance Conventions attended prior to the 74th NSDC:Please enter a number from 0 to 73.1st Youth's Date of Birth* MM slash DD slash YYYY 2nd Youth's name* First Last 2nd Youth's prior conventions:*Number of National Square Dance Conventions attended prior to the 74th NSDC:Please enter a number from 0 to 73.2nd Youth's Date of Birth* MM slash DD slash YYYY 3rd Youth's name* First Last 3rd Youth's prior conventions:*Number of National Square Dance Conventions attended prior to the 74th NSDC:Please enter a number from 0 to 73.3rd Youth's Date of Birth* MM slash DD slash YYYY 4th Youth's name* First Last 4th Youth's prior conventions:*Number of National Square Dance Conventions attended prior to the 74th NSDC:Please enter a number from 0 to 73.4th Youth's Date of Birth* MM slash DD slash YYYY Current TotalIncludes one time $3.00 credit card processing fee. A $10.00 fee per registrant will be imposed for cancellations or changes before April 30th, 2025. No refunds after April 30th, 2025. Registrations received after April 30th, 2025, will receive e-mail confirmation.Check all that apply.* SSD Only Mainstream Plus Advanced Challenge Contra Lines Clogging Rounds Handicapable Solo Are any of the registrants Callers or Dance Leaders? Yes No Please list the name(s) of any Callers and Dance Leaders and the type of dancing they lead.*NameType of dancing Add RemoveDressy casual attire allowed until 6 PM. Proper dance attire is requested after 6 PM for all dancers. 74th NSDC Convention badge required for entrance to all convention activities. Shoes must be worn at all times. Current TotalIncludes one time $3.00 credit card processing fee. Magnet for Badge Price: QuantityProgram Book and Daily Schedules Price: QuantityRound Dance SyllabusCheck box to choose quantity USB Drive $15.00 Printed Copy $20.00 USB Drive & Printed Copy $30.00 Round Dance Syllabus – USB Price: QuantityPlease enter a number from 0 to 4.Round Dance Syllabus – Print Price: QuantityPlease enter a number from 0 to 4.Round Dance USB Drive & Printed Copy Price: QuantityPlease enter a number from 0 to 4.Sew & Save Book – PDF FileCheck box to choose quantity USB Drive $15.00 Digital Download $15.00 Sew & Save – USB Price: QuantityPlease enter a number from 0 to 4.Sew & Save Digital Download Price: QuantityPlease enter a number from 0 to 4.Cookbook Price: QuantityPlease enter a number from 0 to 4.Wednesday Night Special Event – Dennis SwanbergCheck box to choose quantity Dinner & Show $60.00 per person Show Only $30.00 per person Dinner & Show Price: Quantity*Please enter a number from 1 to 4.Meal Selection 1*Click to view all optionsBlackened CatfishGrilled ChickenMeal Selection 2*Click to view all optionsBlackened CatfishGrilled ChickenMeal Selection 3*Click to view all optionsBlackened CatfishGrilled ChickenMeal Selection 4*Click to view all optionsBlackened CatfishGrilled ChickenShow Only Price: QuantityPlease enter a number from 0 to 4.Current TotalIncludes one time $3.00 credit card processing fee. Convention Hotels and Campgrounds must be reserved through 74th NSDC Registration & Housing for 74th NSDC rates.Accommodations*Tell us about where you plan to stay. (A dropdown list will appear after you choose either “Convention Hotels” or “Camping / RV”). Convention Hotels Camping / RV I’ll make my own housing accommodations. Choose a Hotel:*Pick your top 3 choices. 2a. Sam’s Town – Weekday Rate (Sunday – Thursday) – $115 – Weekend Rate (Friday – Saturday) – $145 2b. Sam’s Town – Caller/Cuer Hotel – Weekend Rate (Friday – Saturday) – $145 3. Holiday Inn – Shreveport (3-minute drive – 0.7 mile) – $115 4. Holiday Inn Express – Shreveport (3-minute drive – 0.7 mile) – $115 5. Hampton Inn – Bossier (6-minute drive) – $139 6. Hilton Garden Inn – Bossier (6-minute drive) – $139 7. Homewood Suites – Bossier (6-minute drive) – $169 Room nights needed:*(4 night minimum) S 6/21 S 6/22 M 6/23 T 6/24 W 6/25 T 6/26 F 6/27 S 6/28 S 6/29 Room Request* Single Double Queen King Handicapable Shared RoomsOnly one person per room should complete a hotel reservation request. Please list all room occupants here: Housing Committee does not find or assign roommates. Are you part of a Block Housing Group?* Yes No Block Housing: All Block Housing requests are due by July 15th, 2024 and must be filled by September 15th. Include the name, email, and phone number of Block Housing Leader.Block Name*Block Leader Name* First Last Email* Phone*No airport shuttle services provided.Register and submit your hotel room choice early to have the best chance of having your selection available, and no later than May 1, 2025. A weblink and phone number to the hotel reservation system will be sent to attendees in the order that the forms are received.Note that hotels will not take your reservation for our convention until July 1, 2024. The hotel will provide your confirmation number after you provide your credit card number to hold the room. You must be registered for the convention with a registration number to receive the convention contracted rate. No self or online registration is available for the contracted rate except through the weblink and phone number which will be provided by the convention Housing Vice-Chairman. Campground Distance Rate per Day State Fair of Louisiana 3701 Hudson Street,Shreveport, LA 71109 4.5 miles /9-minute drive $35.00 RV Camping4 night minimum Price: Quantity*(4 night minimum)Please enter a number from 4 to 9.Each site is roughly the same size with full hookups including water and sewer with 30 or 50-amp electrical connections. 30 amp requested. 50 amp requested. Assignments will be made in the order of registration form received & according to availability to make sure we have plenty of 50-amp connections. This form must be received, and sites must be booked by May 1, 2025, to guarantee the 74th NSDC pricing. We have over 200 sites available, so no issue on availability.Site nights needed:*(4 night minimum) S 6/21 S 6/22 M 6/23 T 6/24 W 6/25 T 6/26 F 6/27 S 6/28 S 6/29 Buses Not Available. Parking Available at Convention Center $5 per day (in/out).Are you group camping?* Yes No Group Camping requests must be received by January 2, 2025. Everyone that is part of the group must fill in Group Name and Group Leader Name. To camp together, best to arrive together.Group Name*Group Leader Name* First Last Email* Phone*Your confirmed campground may assess a one-night penalty fee for cancellations received less than 72 hours of arrival, including departure. No self or online registration available. All site reservations will be coordinated through the RV & Camping Vice-Chairman with this form. For further information see website: www.74nsdc.com.Current TotalIncludes one time $3.00 credit card processing fee. Convenience Fee for Credit Card Processing Price: Total Credit Card Cardholder Name Card Details NameThis field is for validation purposes and should be left unchanged.
