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Black Hills Mini Shindig
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Black Hills Mini Shindig
Home
About
Details
Schedule
FAQ
Location
Register
Family or 3+ Siblings – Registration Form
Type of Registration
*
Family
3 or more siblings
If you are a family with one or more children, please choose “Family”. If you are three or more siblings registering (Dad and Mom not attending with you:, please select “3 or more siblings”.
Contact Information
How did you hear about the Shindig?
Family Last Name
*
Street Address
*
Apartment, suite, etc
City
*
State/Province
*
ZIP / Postal Code
*
Phone
*
Cell Phone
Email Address
*
Number in Family (Parents + Child(ren))
*
Attendee Information + Meal Selections
Name 1
*
Age – (Attendee 1)
*
Gender (Attendee 1)
*
Please select an option
Male
Female
Attendee 1 – (Adult) Meals Selection
*
No Meals
All Meals
Some Meals
Attendee 1 – (Child 6-11) Meals Selection
*
No Meals
All Meals
Some Meals
Attendee 1 – (Child – Under 6) Meals Selection
*
No Meals
All Meals
Some Meals
Does attendee 1 require gluten free meals?
Yes
No
Attendee 1 Specific Meals (Adult)
*
Thursday – Supper ($11)
Friday – Breakfast ($9)
Friday – Lunch ($10)
Friday – Supper ($11)
Saturday – Breakfast ($9)
Saturday – Lunch ($10)
Saturday – Supper ($11)
Sunday – Breakfast ($9)
Attendee 1 Specific Meals (Child 6-11)
*
Thursday – Supper ($8)
Friday – Breakfast ($6)
Friday – Lunch ($7)
Friday – Supper ($8)
Saturday – Breakfast ($6)
Saturday – Lunch ($7)
Saturday – Supper ($8)
Sunday – Breakfast ($6)
Attendee 1 Specific Meals (Child – Under 6)
*
Thursday – Supper (free)
Friday – Breakfast (free)
Friday – Lunch (free)
Friday – Supper (free)
Saturday – Breakfast (free)
Saturday – Lunch (free)
Saturday – Supper (free)
Sunday – Breakfast (free)
Attendee 1 Meal Cost
$
Name 2
*
Age – (Attendee 2)
*
Gender (Attendee 2)
*
Please select an option
Male
Female
Attendee 2 – (Adult) Meals Selection
*
No Meals
All Meals
Some Meals
Attendee 2 – (Child 6-11) Meals Selection
*
No Meals
All Meals
Some Meals
Attendee 2 – (Child – Under 6) Meals Selection
*
No Meals
All Meals
Some Meals
Does attendee 2 require gluten free meals?
Yes
No
Attendee 2 Specific Meals (Adult)
*
Thursday – Supper ($11)
Friday – Breakfast ($9)
Friday – Lunch ($10)
Friday – Supper ($11)
Saturday – Breakfast ($9)
Saturday – Lunch ($10)
Saturday – Supper ($11)
Sunday – Breakfast ($9)
Attendee 2 Specific Meals (Child 6-11)
*
Thursday – Supper ($8)
Friday – Breakfast ($6)
Friday – Lunch ($7)
Friday – Supper ($8)
Saturday – Breakfast ($6)
Saturday – Lunch ($7)
Saturday – Supper ($8)
Sunday – Breakfast ($6)
Attendee 2 Specific Meals (Child – Under 6)
*
Thursday – Supper (free)
Friday – Breakfast (free)
Friday – Lunch (free)
Friday – Supper (free)
Saturday – Breakfast (free)
Saturday – Lunch (free)
Saturday – Supper (free)
Sunday – Breakfast (free)
Attendee 2 Meal Cost
$
Name 3
*
Age – (Attendee 3)
*
Gender (Attendee 3)
*
Please select an option
Male
Female
Attendee 3 – (Adult) Meals Selection
*
No Meals
All Meals
Some Meals
Attendee 3 – (Child 6-11) Meals Selection
*
No Meals
All Meals
Some Meals
Attendee 3 – (Child – Under 6) Meals Selection
*
No Meals
All Meals
Some Meals
Does attendee 3 require gluten free meals?
Yes
No
Attendee 3 Specific Meals (Adult)
*
Thursday – Supper ($11)
Friday – Breakfast ($9)
Friday – Lunch ($10)
Friday – Supper ($11)
Saturday – Breakfast ($9)
Saturday – Lunch ($10)
Saturday – Supper ($11)
Sunday – Breakfast ($9)
Attendee 3 Specific Meals (Child 6-11)
*
Thursday – Supper ($8)
Friday – Breakfast ($6)
Friday – Lunch ($7)
Friday – Supper ($8)
Saturday – Breakfast ($6)
Saturday – Lunch ($7)
Saturday – Supper ($8)
Sunday – Breakfast ($6)
Attendee 3 Specific Meals (Child – Under 6)
*
Thursday – Supper (free)
Friday – Breakfast (free)
Friday – Lunch (free)
Friday – Supper (free)
Saturday – Breakfast (free)
Saturday – Lunch (free)
Saturday – Supper (free)
Sunday – Breakfast (free)
Attendee 3 Meal Cost
$
Name 4
*
Age – (Attendee 4)
*
Gender (Attendee 4)
*
Please select an option
Male
Female
Attendee 4 – (Adult) Meals Selection
*
No Meals
All Meals
Some Meals
Attendee 4 – (Child 6-11) Meals Selection
*
No Meals
All Meals
Some Meals
Attendee 4 – (Child – Under 6) Meals Selection
*
No Meals
All Meals
Some Meals
Does attendee 4 require gluten free meals?
Yes
No
Attendee 4 Specific Meals (Adult)
*
Thursday – Supper ($11)
Friday – Breakfast ($9)
Friday – Lunch ($10)
Friday – Supper ($11)
Saturday – Breakfast ($9)
Saturday – Lunch ($10)
Saturday – Supper ($11)
Sunday – Breakfast ($9)
Attendee 4 Specific Meals (Child 6-11)
*
Thursday – Supper ($8)
Friday – Breakfast ($6)
Friday – Lunch ($7)
Friday – Supper ($8)
Saturday – Breakfast ($6)
Saturday – Lunch ($7)
Saturday – Supper ($8)
Sunday – Breakfast ($6)
Attendee 4 Specific Meals (Child – Under 6)
*
Thursday – Supper (free)
Friday – Breakfast (free)
Friday – Lunch (free)
Friday – Supper (free)
Saturday – Breakfast (free)
Saturday – Lunch (free)
Saturday – Supper (free)
Sunday – Breakfast (free)
Attendee 4 Meal Cost
$
Name 5
*
Age – (Attendee 5)
*
Gender (Attendee 5)
*
Please select an option
Male
Female
Attendee 5 – (Adult) Meals Selection
*
No Meals
All Meals
Some Meals
Attendee 5 – (Child 6-11) Meals Selection
*
No Meals
All Meals
Some Meals
Attendee 5 – (Child – Under 6) Meals Selection
*
No Meals
All Meals
Some Meals
Does attendee 5 require gluten free meals?
Yes
No
Attendee 5 Specific Meals (Adult)
*
Thursday – Supper ($11)
Friday – Breakfast ($9)
Friday – Lunch ($10)
Friday – Supper ($11)
Saturday – Breakfast ($9)
Saturday – Lunch ($10)
Saturday – Supper ($11)
Sunday – Breakfast ($9)
Attendee 5 Specific Meals (Child 6-11)
*
Thursday – Supper ($8)
Friday – Breakfast ($6)
Friday – Lunch ($7)
Friday – Supper ($8)
Saturday – Breakfast ($6)
Saturday – Lunch ($7)
Saturday – Supper ($8)
Sunday – Breakfast ($6)
Attendee 5 Specific Meals (Child – Under 6)
*
Thursday – Supper (free)
Friday – Breakfast (free)
Friday – Lunch (free)
Friday – Supper (free)
Saturday – Breakfast (free)
Saturday – Lunch (free)
Saturday – Supper (free)
Sunday – Breakfast (free)
Attendee 5 Meal Cost
$
Name 6
*
Age – (Attendee 6)
*
Gender (Attendee 6)
*
Please select an option
Male
Female
Attendee 6 – (Adult) Meals Selection
*
No Meals
All Meals
Some Meals
Attendee 6 – (Child 6-11) Meals Selection
*
No Meals
All Meals
Some Meals
Attendee 6 – (Child – Under 6) Meals Selection
*
No Meals
All Meals
Some Meals
Does attendee 6 require gluten free meals?
Yes
No
Attendee 6 Specific Meals (Adult)
*
Thursday – Supper ($11)
Friday – Breakfast ($9)
Friday – Lunch ($10)
Friday – Supper ($11)
Saturday – Breakfast ($9)
Saturday – Lunch ($10)
Saturday – Supper ($11)
Sunday – Breakfast ($9)
Attendee 6 Specific Meals (Child 6-11)
*
Thursday – Supper ($8)
Friday – Breakfast ($6)
Friday – Lunch ($7)
Friday – Supper ($8)
Saturday – Breakfast ($6)
Saturday – Lunch ($7)
Saturday – Supper ($8)
Sunday – Breakfast ($6)
Attendee 6 Specific Meals (Child – Under 6)
*
Thursday – Supper (free)
Friday – Breakfast (free)
Friday – Lunch (free)
Friday – Supper (free)
Saturday – Breakfast (free)
Saturday – Lunch (free)
Saturday – Supper (free)
Sunday – Breakfast (free)
Attendee 6 Meal Cost
$
Name 7
*
Age – (Attendee 7)
*
Gender (Attendee 7)
*
Please select an option
Male
Female
Attendee 7 – (Adult) Meals Selection
*
No Meals
All Meals
Some Meals
Attendee 7 – (Child 6-11) Meals Selection
*
No Meals
All Meals
Some Meals
Attendee 7 – (Child – Under 6) Meals Selection
*
No Meals
All Meals
Some Meals
Does attendee 7 require gluten free meals?
Yes
No
Attendee 7 Specific Meals (Adult)
*
Thursday – Supper ($11)
Friday – Breakfast ($9)
Friday – Lunch ($10)
Friday – Supper ($11)
Saturday – Breakfast ($9)
Saturday – Lunch ($10)
Saturday – Supper ($11)
Sunday – Breakfast ($9)
Attendee 7 Specific Meals (Child 6-11)
*
Thursday – Supper ($8)
Friday – Breakfast ($6)
Friday – Lunch ($7)
Friday – Supper ($8)
Saturday – Breakfast ($6)
Saturday – Lunch ($7)
Saturday – Supper ($8)
Sunday – Breakfast ($6)
Attendee 7 Specific Meals (Child – Under 6)
*
Thursday – Supper (free)
Friday – Breakfast (free)
Friday – Lunch (free)
Friday – Supper (free)
Saturday – Breakfast (free)
Saturday – Lunch (free)
Saturday – Supper (free)
Sunday – Breakfast (free)
Attendee 7 Meal Cost
$
Name 8
*
Age – (Attendee 8)
*
Gender (Attendee 8)
*
Please select an option
Male
Female
Attendee 8 – (Adult) Meals Selection
*
No Meals
All Meals
Some Meals
Attendee 8 – (Child 6-11) Meals Selection
*
No Meals
All Meals
Some Meals
Attendee 8 – (Child – Under 6) Meals Selection
*
No Meals
All Meals
Some Meals
Does attendee 8 require gluten free meals?
Yes
No
Attendee 8 Specific Meals (Adult)
*
Thursday – Supper ($11)
Friday – Breakfast ($9)
Friday – Lunch ($10)
Friday – Supper ($11)
Saturday – Breakfast ($9)
Saturday – Lunch ($10)
Saturday – Supper ($11)
Sunday – Breakfast ($9)
Attendee 8 Specific Meals (Child 6-11)
*
Thursday – Supper ($8)
Friday – Breakfast ($6)
Friday – Lunch ($7)
Friday – Supper ($8)
Saturday – Breakfast ($6)
Saturday – Lunch ($7)
Saturday – Supper ($8)
Sunday – Breakfast ($6)
Attendee 8 Specific Meals (Child – Under 6)
*
Thursday – Supper (free)
Friday – Breakfast (free)
Friday – Lunch (free)
Friday – Supper (free)
Saturday – Breakfast (free)
Saturday – Lunch (free)
Saturday – Supper (free)
Sunday – Breakfast (free)
Attendee 8 Meal Cost
$
Name 9
*
Age – (Attendee 9)
*
Gender (Attendee 9)
*
Please select an option
Male
Female
Attendee 9 – (Adult) Meals Selection
*
No Meals
All Meals
Some Meals
Attendee 9 – (Child 6-11) Meals Selection
*
No Meals
All Meals
Some Meals
Attendee 9 – (Child – Under 6) Meals Selection
*
No Meals
All Meals
Some Meals
Does attendee 9 require gluten free meals?
Yes
No
Attendee 9 Specific Meals (Adult)
*
Thursday – Supper ($11)
Friday – Breakfast ($9)
Friday – Lunch ($10)
Friday – Supper ($11)
Saturday – Breakfast ($9)
Saturday – Lunch ($10)
Saturday – Supper ($11)
Sunday – Breakfast ($9)
Attendee 9 Specific Meals (Child 6-11)
*
Thursday – Supper ($8)
Friday – Breakfast ($6)
Friday – Lunch ($7)
Friday – Supper ($8)
Saturday – Breakfast ($6)
Saturday – Lunch ($7)
Saturday – Supper ($8)
Sunday – Breakfast ($6)
Attendee 9 Specific Meals (Child – Under 6)
*
Thursday – Supper (free)
Friday – Breakfast (free)
Friday – Lunch (free)
Friday – Supper (free)
Saturday – Breakfast (free)
Saturday – Lunch (free)
Saturday – Supper (free)
Sunday – Breakfast (free)
Attendee 9 Meal Cost
$
Name 10
*
Age – (Attendee 10)
*
Gender (Attendee 10)
*
Please select an option
Male
Female
Attendee 10 – (Adult) Meals Selection
*
No Meals
All Meals
Some Meals
Attendee 10 – (Child 6-11) Meals Selection
*
No Meals
All Meals
Some Meals
Attendee 10 – (Child – Under 6) Meals Selection
*
No Meals
All Meals
Some Meals
Does attendee 10 require gluten free meals?
Yes
No
Attendee 10 Specific Meals (Adult)
*
Thursday – Supper ($11)
Friday – Breakfast ($9)
Friday – Lunch ($10)
Friday – Supper ($11)
Saturday – Breakfast ($9)
Saturday – Lunch ($10)
Saturday – Supper ($11)
Sunday – Breakfast ($9)
Attendee 10 Specific Meals (Child 6-11)
*
Thursday – Supper ($8)
Friday – Breakfast ($6)
Friday – Lunch ($7)
Friday – Supper ($8)
Saturday – Breakfast ($6)
Saturday – Lunch ($7)
Saturday – Supper ($8)
Sunday – Breakfast ($6)
Attendee 10 Specific Meals (Child – Under 6)
*
Thursday – Supper (free)
Friday – Breakfast (free)
Friday – Lunch (free)
Friday – Supper (free)
Saturday – Breakfast (free)
Saturday – Lunch (free)
Saturday – Supper (free)
Sunday – Breakfast (free)
Attendee 10 Meal Cost
$
Name 11
*
Age – (Attendee 11)
*
Gender (Attendee 11)
*
Please select an option
Male
Female
Attendee 11 – (Adult) Meals Selection
*
No Meals
All Meals
Some Meals
Attendee 11 – (Child 6-11) Meals Selection
*
No Meals
All Meals
Some Meals
Attendee 11 – (Child – Under 6) Meals Selection
*
No Meals
All Meals
Some Meals
Does attendee 11 require gluten free meals?
Yes
No
Attendee 11 Specific Meals (Adult)
*
Thursday – Supper ($12)
Friday – Breakfast ($9)
Friday – Lunch ($10)
Friday – Supper ($11)
Saturday – Breakfast ($9)
Saturday – Lunch ($10)
Saturday – Supper ($11)
Sunday – Breakfast ($9)
Attendee 11 Specific Meals (Child 6-11)
*
Thursday – Supper ($8)
Friday – Breakfast ($6)
Friday – Lunch ($7)
Friday – Supper ($8)
Saturday – Breakfast ($6)
Saturday – Lunch ($7)
Saturday – Supper ($8)
Sunday – Breakfast ($6)
Attendee 11 Specific Meals (Child – Under 6)
*
Thursday – Supper (free)
Friday – Breakfast (free)
Friday – Lunch (free)
Friday – Supper (free)
Saturday – Breakfast (free)
Saturday – Lunch (free)
Saturday – Supper (free)
Sunday – Breakfast (free)
Attendee 11 Meal Cost
$
Name 12
*
Age – (Attendee 12)
*
Gender (Attendee 12)
*
Please select an option
Male
Female
Attendee 12 – (Adult) Meals Selection
*
No Meals
All Meals
Some Meals
Attendee 12 – (Child 6-11) Meals Selection
*
No Meals
All Meals
Some Meals
Attendee 12 – (Child – Under 6) Meals Selection
*
No Meals
All Meals
Some Meals
Does attendee 12 require gluten free meals?
Yes
No
Attendee 12 Specific Meals (Adult)
*
Thursday – Supper ($11)
Friday – Breakfast ($9)
Friday – Lunch ($10)
Friday – Supper ($11)
Saturday – Breakfast ($9)
Saturday – Lunch ($10)
Saturday – Supper ($11)
Sunday – Breakfast ($9)
Attendee 12 Specific Meals (Child 6-11)
*
Thursday – Supper ($8)
Friday – Breakfast ($6)
Friday – Lunch ($7)
Friday – Supper ($8)
Saturday – Breakfast ($6)
Saturday – Lunch ($7)
Saturday – Supper ($8)
Sunday – Breakfast ($6)
Attendee 12 Specific Meals (Child – Under 6)
*
Thursday – Supper (free)
Friday – Breakfast (free)
Friday – Lunch (free)
Friday – Supper (free)
Saturday – Breakfast (free)
Saturday – Lunch (free)
Saturday – Supper (free)
Sunday – Breakfast (free)
Attendee 12 Meal Cost
$
Name 13
*
Age – (Attendee 13)
*
Gender (Attendee 13)
*
Please select an option
Male
Female
Attendee 13 – (Adult) Meals Selection
*
No Meals
All Meals
Some Meals
Attendee 13 – (Child 6-11) Meals Selection
*
No Meals
All Meals
Some Meals
Attendee 13 – (Child – Under 6) Meals Selection
*
No Meals
All Meals
Some Meals
Does attendee 13 require gluten free meals?
Yes
No
Attendee 13 Specific Meals (Adult)
*
Thursday – Supper ($11)
Friday – Breakfast ($9)
Friday – Lunch ($10)
Friday – Supper ($11)
Saturday – Breakfast ($9)
Saturday – Lunch ($10)
Saturday – Supper ($11)
Sunday – Breakfast ($9)
Attendee 13 Specific Meals (Child 6-11)
*
Thursday – Supper ($8)
Friday – Breakfast ($6)
Friday – Lunch ($7)
Friday – Supper ($8)
Saturday – Breakfast ($6)
Saturday – Lunch ($7)
Saturday – Supper ($8)
Sunday – Breakfast ($6)
Attendee 13 Specific Meals (Child – Under 6)
*
Thursday – Supper (free)
Friday – Breakfast (free)
Friday – Lunch (free)
Friday – Supper (free)
Saturday – Breakfast (free)
Saturday – Lunch (free)
Saturday – Supper (free)
Sunday – Breakfast (free)
Attendee 13 Meal Cost
$
Name 14
*
Age – (Attendee 14)
*
Gender (Attendee 14)
*
Please select an option
Male
Female
Attendee 14 – (Adult) Meals Selection
*
No Meals
All Meals
Some Meals
Attendee 14 – (Child 6-11) Meals Selection
*
No Meals
All Meals
Some Meals
Attendee 14 – (Child – Under 6) Meals Selection
*
No Meals
All Meals
Some Meals
Does attendee 14 require gluten free meals?
Yes
No
Attendee 14 Specific Meals (Adult)
*
Thursday – Supper ($11)
Friday – Breakfast ($9)
Friday – Lunch ($10)
Friday – Supper ($11)
Saturday – Breakfast ($9)
Saturday – Lunch ($10)
Saturday – Supper ($11)
Sunday – Breakfast ($9)
Attendee 14 Specific Meals (Child 6-11)
*
Thursday – Supper ($8)
Friday – Breakfast ($6)
Friday – Lunch ($7)
Friday – Supper ($8)
Saturday – Breakfast ($6)
Saturday – Lunch ($7)
Saturday – Supper ($8)
Sunday – Breakfast ($6)
Attendee 14 Specific Meals (Child – Under 6)
*
Thursday – Supper (free)
Friday – Breakfast (free)
Friday – Lunch (free)
Friday – Supper (free)
Saturday – Breakfast (free)
Saturday – Lunch (free)
Saturday – Supper (free)
Sunday – Breakfast (free)
Attendee 14 Meal Cost
$
Name 15
*
Age – (Attendee 15)
*
Gender (Attendee 15)
*
Please select an option
Male
Female
Attendee 15 – (Adult) Meals Selection
*
No Meals
All Meals
Some Meals
Attendee 15 – (Child 6-11) Meals Selection
*
No Meals
All Meals
Some Meals
Attendee 15 – (Child – Under 6) Meals Selection
*
No Meals
All Meals
Some Meals
Does attendee 15 require gluten free meals?
Yes
No
Attendee 15 Specific Meals (Adult)
*
Thursday – Supper ($11)
Friday – Breakfast ($9)
Friday – Lunch ($10)
Friday – Supper ($11)
Saturday – Breakfast ($9)
Saturday – Lunch ($10)
Saturday – Supper ($11)
Sunday – Breakfast ($9)
Attendee 15 Specific Meals (Child 6-11)
*
Thursday – Supper ($8)
Friday – Breakfast ($6)
Friday – Lunch ($7)
Friday – Supper ($8)
Saturday – Breakfast ($6)
Saturday – Lunch ($7)
Saturday – Supper ($8)
Sunday – Breakfast ($6)
Attendee 15 Specific Meals (Child – Under 6)
*
Thursday – Supper (free)
Friday – Breakfast (free)
Friday – Lunch (free)
Friday – Supper (free)
Saturday – Breakfast (free)
Saturday – Lunch (free)
Saturday – Supper (free)
Sunday – Breakfast (free)
Attendee 15 Meal Cost
$
Housing
Number of Nights
Select Specific Nights
Wednesday 9/9
Thursday 9/10
Friday 9/11
Saturday 9/12
Sunday 9/13
(Shindig days are from Thursday 12p – Sunday 12p)
Select Housing
*
Select Housing
Modern
Mid-Range
Economy
RV Site
Tent Camping
NOTE: Families larger than 5 selecting Modern Housing may have to take 2 rooms.
RV Hookup
*
Please select an option
Water + Electric
Full Hookup (Water+Electric+Sewer)
RV Electric
*
Please select an option
30 amp
20 amp
RV Length
*
If you need handicap accessibility or other considerations please note that here or call us at (307) 388-0933. (Please type N/A if you do not need any considerations.)
Total $ Due
Non-Refundable Shindig Registration Fee
$
Meals
$
Housing
$
Total Due
$
Submit Registration
Please do not fill in this field.
