Registration VADA Convention Registration 2025 Required fields are denoted by a red asterisk throughout the form. Step 1 of 8 12% Email* Enter Email Confirm Email Each registration record requires a unique email. You must use different email addresses for multiple submissions. If you are completing the registration on behalf of others, please input their email below. You will have the opportunity to enter your email during registration so that you are CCed on email communications.Mobile Phone Number* Registration TypeDealer ($299)Sponsor ($499)Speaker/Staff ($0.00) Badge InformationName*First NameNicknameLast NameCompany InformationCompany Name*Company Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhoneHome AddressIf changed from last year, please update.Enter Your Home Address Street Number and Address ^ City ^ AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code ^ Alternate Email Enter Email Confirm Email Subtotal $299.00 Guests AttendingSelect the number of guests per age group that will accompany you to the convention. Age should be as of June 8, 2025. Do NOT include yourself in these totals, only guests.# of Adult Guests/Spouse of Dealer - Ages 21+ ($299 per guest)*0 Additional Adults1 Additional Adult2 Additional Adults3 Additional Adults4 Additional Adults5 Additional Adults6 Additional Adults# of Teenage Children of Dealer - Ages 13 - 20 ($219 per teen)*0 Additional Teens1 Additional Teen2 Additional Teens3 Additional Teens4 Additional Teens# of Children of Dealer - Ages 5 - 12 ($189 per child)*0 Additional Children1 Additional Child2 Additional Children3 Additional Children4 Additional Children# of Infant or Toddler Children of Dealer - Ages 0 - 4 ($0 per child)*0 Additional Toddlers1 Additional Toddler2 Additional Toddlers3 Additional Toddlers4 Additional Toddlers# of Fellow Employees ($499 per guest)*0 Fellow Employees1 Fellow Employee2 Fellow Employees3 Fellow Employees4 Fellow Employees5 Fellow Employees6 Fellow EmployeesSpouse of Sponsor ($399)*No SpouseSpouse/Significant Other# of Teenage Children of Sponsor - Ages 13 - 20 ($319 per teen)*0 Additional Teens1 Additional Teen2 Additional Teens3 Additional Teens4 Additional Teens# of Children of Sponsor - Ages 5 - 12 ($289 per child)*0 Additional Children1 Additional Child2 Additional Children3 Additional Children4 Additional Children# of Infant or Toddler Children of Sponsor - Ages 0 - 4 ($0 per child)*0 Additional Toddlers1 Additional Toddler2 Additional Toddlers3 Additional Toddlers4 Additional ToddlersAdult and Child GuestsPlease use the + button below to list the names of ALL your adult and child guest(s).Adult Guest InformationFirst NameLast Name Children under 21 InformationFull NameAge Subtotal $299.00 Dinner SundayWill you attend the Sunday Dinner?*NoYesHow many people from your party will attend?0123456Breakfast MondayWill you attend the Monday Breakfast?*NoYesHow many people from your party will attend?012345678Breakfast TuesdayWill you attend the Tuesday Breakfast?*NoYesHow many people from your party will attend?012345678Dinner TuesdayWill you attend the Tuesday Dinner?*NoYesIf Yes, how many people from your party will attend?012345678Subtotal $299.00 Convention Golf Tournament & Other ActivitiesEach available for an additional charge.Do you want to play on the Old Course – Tuesday, June 10th at 12:30 p.m.?NoYes - Tuesday, June 10th at 12:30pmSelect # of Golfers (including yourself) - Dealer Registration*0 Golfers1 Golfers2 Golfers3 Golfers4 Golfers5 Golfers6 Golfers$180 per golferSelect # of Golfers (including yourself) - Sponsor Registration*0 Golfers1 Golfers2 Golfers3 Golfers4 Golfers5 Golfers6 Golfers$280Golfer Information (hit the + symbol to add names of all golfers)First NameLast NameHandicap Would you like to go on a Private History Tour? – Monday, June 9th at 10:30am*NoYes - Monday, June 9th at 10:30 a.m.10:30 a.m. on Monday. $25 per person, limited to 25 people. Select # of Number of Attendees*0 - Private History Tour1 - Private History Tour2 - Private History Tour3 - Private History Tour4 - Private History Tour5 - Private History Tour6 - Private History Tour7 - Private History Tour8 - Private History TourWould you like to enjoy the Warm Springs?*NoYes - Monday June 9 at 3 p.m.Yes - Tuesday June 10 at 1 p.m.Approximately 10 minutes from the property; Monday June 9 at 3 p.m. and Tuesday June 10, 1 p.m. $36; 25 max participants per time slot.Select # of Attendees*0 - Warm Springs1 - Warm Springs2 - Warm Springs3 - Warm Springs4 - Warm Springs5 - Warm Springs6 - Warm Springs7 - Warm Springs8 - Warm SpringsSubtotal $299.00 Kids ProgramWould you like to participate in the Kids Program?*NoYes, on MondayYes, on TuesdayYes, on Monday and TuesdayMonday and Tuesday, June 9 and 10 8 a.m. – 12:30 p.m. Kids ages 4-12 (must be potty trained) $58 per child, per daySelect # of Number of Kids*0 Children1 Child2 Children3 Children4 ChildrenSelect # of Number of Kids*0 Children1 Child2 Children3 Children4 ChildrenChild Information (hit the + symbol to add names of all children)First NameLast Name Please list any allergies your children may haveTotal $299.00 Cancellation and Substitution PolicyCancellations received after May 2, 2025 will be charged a $119 processing fee PER ATTENDEE; no refunds after May 23, 2025. Substitutions may be made at any time at no charge.* I have read and accept the policy CheckoutTotal $299.00 Promotional Code Payment Method*Credit CardInvoice MePromo CodePLEASE SELECT THE APPROPRIATE PAYMENT OPTION FROM THE DROPDOWN MENU.Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20252026202720282029203020312032203320342035203620372038203920402041204220432044 Expiration Date Security Code Cardholder Name NameThis field is for validation purposes and should be left unchanged.