Please fill out the front and back of this form and return with $150.00
non-refundable deposit per person to: Capital One Bowl,
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 UCA
at 888-CHEERUCA or UDA at 800-DANCEUDA.
Make check payable to “Capital One Bowl.”
Deposit due: $150.00 per person. Deposit deadline is September 12, 2014.
Balance of payment is due on or before November 7, 2014.
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
Spirit Xpress Cheer
o
UDA 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) ________________________________________________________________________________________________________________________________
City
State
Zip
SCHOOL PHONE NUMBER ( )_____________________________ SCHOOL FAX NUMBER ( )______________________________
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) __________________________________________________________________________________________________________________________________
City
State
Zip
DAY PHONE NUMBER ( )_____________________________ EVENING PHONE NUMBER ( )______________________________
CELL PHONE NUMBER ( )______________________________ 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
________________________________________________________________________________________________________________________________________________________________
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 12, 2014. Balance is due November 7, 2014.
CANCELLATIONS AND REFUNDS:
For cancellations received in the Varsity office on or
BEFORE
October 3, 2014, all monies will be refunded with the exception of the $150.00 deposit. For cancellations in the Varsity
office made
BETWEEN
October 3, 2014 and November 6, 2014, an additional $100.00 per person penalty will apply to cover entertainment guarantees. For cancellations received
AFTER November 7, 2014,
THERE WILL BE NO REFUNDS.
ALL CANCELLATIONS MUST BE IN WRITING TO VARSITY. WE WILL NOT ACCEPT CANCELLATIONS BY PHONE. CANCELLATIONS MAY BE FAXED TO
MENDY TERRELL AT 800-969-8295.
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C A P I T A L O N E B O W L
P R E - G A M E P E R F O R M A N C E
A C C O M O D A T I O N S
A T T H E
Resort
