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Please fill out the front and back of this form and return with $150.00
non-refundable deposit per person to: Varsity Spirit,
P.O. Box 752790 • Memphis, TN 38175-2790 or you can FedEx it to:
6745 Lenox Center Court, Suite 300, Memphis, TN 38115
For any additional information regarding this tour, please call
Varsity Spirit at 888-243-3782, 800-326-2383 or 800-622-2946.
Make check payable to “Varsity Spirit”.
Deposit due: $150.00 per person. Deposit deadline is September 14, 2016.
Balance of payment is due on or before November 4, 2016.
REGISTRATION FORM
Both sections MUST be completed. Please mark the address where you would like to receive further information.
(Each team and mascot must have at least one chaperone for every 10 participants.)
o
UCA Cheer Squad
o
NCA Cheer Squad
o
Spirit Xpress Cheer
o
UDA Dance Team
o
NDA Dance Team
o
UCA Mascot
o
NCA Mascot
o
Check here if you want information mailed to school address.
SCHOOL NAME ________________________________________________________________________________________________________________________________________________
SCHOOL ADDRESS (No P.O. Boxes) ________________________________________________________________________________________________________________________________
Address City State Zip
SCHOOL PHONE NUMBER with Area Code ( )_______________________________ SCHOOL FAX NUMBER with Area Code ( )_______________________________
SQUAD CLASSIFICATION -
o
Jr High
o
Jr Varsity
o
Varsity
o
Check here if you want information mailed to your home address.
PERSON TO RECEIVE INFORMATION _______________________________________________________________________________________________________________________________
HOME ADDRESS (No P.O. Boxes) __________________________________________________________________________________________________________________________________
Address City State Zip
DAY PHONE NUMBER with Area Code ( )_______________________________ EVENING PHONE NUMBER with Area Code ( )_______________________________
CELL PHONE NUMBER with Area Code ( )_______________________________ EMAIL _______________________________________________________________________________
(Registration confirmation and updates on the tour will be received via email.)
I have read the cancellation policy and understand and accept its contents. I have also advised all participants, parents, and chaperones of my group of this cancellation policy.
X
_________________________________________________________________________________________________________________ ______________________________________
Advisor’s Signature
Date
CREDIT CARD INFORMATION
o
Visa
o
Mastercard
o
American Express
o
Discover
CVV (Security Code): ___________
________________________________________________________________________________________________________________________________________________________________
Card Holder Name Account Number Expiration Date
_________________________________________________________________________________________________________ $ __________________________________________________
Card Holder Signature
Charge Amount
________________________________________________________________________________________________________________________________________________________________
Card Holder Billing Address City State Zip
________________________________________________________________________________________________________________________________________________________________
Card Holder Email Daytime Phone with Area Code Cell Phone with Area Code
This form and deposit are due September 14, 2016. Balance is due November 4, 2016.
CANCELLATIONS AND REFUNDS:
For cancellations received in the Varsity Spirit LLC office on or
BEFORE
October 5, 2016, all monies will be refunded with the exception of the $150.00 deposit. For cancellations in the
Varsity Spirit LLC office made
BETWEEN
October 6, 2016 and November 4, 2016, an additional $100.00 per person penalty will apply to cover entertainment guarantees. For cancel-
lations received AFTER November 5, 2016,
THERE WILL BE NO REFUNDS.
ALL CANCELLATIONS MUST BE IN WRITING TO VARSITY SPIRIT. WE WILL NOT ACCEPT CANCELLATIONS BY PHONE. CANCELLATIONS MAY BE
FAXED TO MENDY TERRELL AT 800-969-8295 or email to
mterrell@varsity.com.
2016
BUFFALO WILD WINGS CITRUS BOWL
P R E - G A M E P E R F O R M A N C E
A C C O M M O D A T I O N S
A T T H E
Resort
( ) ( )