London Dance New Year's Day Parade

3 / 10

Please print legibly and use blue or black ink when completing this form.
Return with $800.00 per person deposit to: Varsity Spirit London Tour
P.O. Box 752790 • Memphis, TN 38175-2790.
For any additional information regarding this tour, please call Varsity Spirit LLC at
1-800-326-2383. Make $800.00 deposit check payable to Varsity Spirit London Tour.
If your All-American attended camp in June, deadline for deposit is July 12, 2016;
if your All-American attended camp in July, deadline for deposit is August 9, 2016;
if your All-American attended camp in August, deadline for deposit is September 7, 2016.
L O N D O N
2 0 1 6 - 2 0 1 7 VA R S I T Y S P I R I T T O U R
NAMES & PHONE NUMBERS OF PEOPLE
TO CONTACT IF NECESSARY WHILE
YOU ARE ON TOUR:
(PLEASE PROVIDE AT LEAST ONE)
Name: _____________________________
Relationship: ________________________
Work #: (_____)______________________
Home #: (_____)______________________
Cell #: (_____)________________________
Email _______________________________
Name: _____________________________
Relationship: ________________________
Work #: (_____)______________________
Home #: (_____)______________________
Cell #: (_____)________________________
Email _______________________________
CANCELLATIONS AND REFUNDS:
(PLEASE READ THIS SECTION
CAREFULLY) Please be familiar with all
cancellation dates. Exceptions cannot be
made. For cancellations that are received
before October 4, 2016 - $500.00
non-refundable penalty per person -
October 5 to November 1, 2016
additional $1000.00 non-refundable
penalty per person - November 2, 2016
to departure - NO REFUND.
ALL CANCELLATIONS MUCH BE IN
WRITING AND RECEIVED IN THE
VARSITY SPIRIT LLC OFFICE ON OR
BEFORE THE DATES INDICATED.
VARSITY SPIRIT LLC DOES NOT
ACCEPT CANCELLATIONS BY
PHONE! It is your responsibility to call
and confirm that your cancellation was
received. Cancellations may be faxed to
Varsity Spirit LLC @ 800-969-8295 or
email to Jennifer Burnett at
or Chelsea
Simoneaux at
Travel insurance information is available
on each brand’s website, click on Special
Events. REMINDER: A copy of the
picture page of your passport
must be received in our office
VIA REGULAR MAIL by October
4, 2016. See passport section of
brochure for information details!!
IF YOU FAIL TO COMPLETE ANY
PART OF THIS FORM, IT WILL BE
RETURNED TO YOU FOR COMPLE-
TION, PRIOR TO ACCEPTANCE.
OPTIONAL SOUVENIR DVD
Professionally-made DVD of our All-Amer-
ican trip to London! DVD includes tours,
hotel, practice, performance, dancing, &
much more! The pre-order cost of the DVD
is $65.00 - no shipping is charged on
pre-order only! DVD will only be
processed if accompanied by payment.
PLEASE CHECK:
 I want a DVD and payment is included. DEPOSIT, TRAVEL INSURANCE AND DVD COST CAN BE INCLUDED IN ONE CHECK
THIS FORM MAY BE COPIED AS NEEDED
PARTICIPANT RESERVATION FORM
Full name: (as it will appear on your passport-please print clearly) ____________________________________________________________________
Name as you would like it printed on your name tag : ______________________________________________________________________________
Mailing address: (for regular mail) ______________________________________________________________________________________________
Street Address City, State,Zip
Full physical address: (for UPS/FedEx shipping - same for uniform)
___________________________________________________________________________________________________________________________
Street Address (no P.O. boxes accepted) City, State,Zip
Home number: (_____)________________ Cell number: (_____)_____________ All Corresponding Email address: ____________________________
I am  Female  Male Age at time of travel:_______ Birthdate: ____/____/____ Year in school:  Soph.  Junior  Senior
Medication allergies (please list)_____________________________________________________________________________
Freshman Not Eligible
TRAVEL INSURANCE - I WILL:  Include $175 for travel insurance  Get my own travel insurance  Not have any travel protection
(see for more info) Request for travel insurance will not be processed without $175 payment.
First and second choice of Gateway City: #1 ________________________________________ #2 ________________________________________
(Final Gateway Assignments will be made in October)
Citizenship:  USA  Other Country: _____________________________________________________________________________________
Roommate(s) name: __________________________________________________________________________________________________________
(If you do not have a roommate, one will be assigned to you by Varsity Spirit LLC. Spectators and Participants may room together.)
E-mail for main contact ______________________________________________________________________. This will be the e-mail used to
correspond with Varsity concerning all travel for participant/spectator traveling with you. (NOTE: All e-mails received by Varsity will be answered
if you do not receive confirmation, your e-mail was not processed or received.
PLEASE RE-READ THE PAYMENT AND CANCELLATIONS SECTIONS BEFORE SIGNING THIS CONTRACT.
I/WE HAVE READ THIS BROCHURE AND UNDERSTAND AND ACCEPT ITS CONTENTS:
_________________________________________________________________ DATE:____/____/____ Phone number: (_____)__________________
Participant’s signature
_________________________________________________________________ DATE:____/____/____ Phone number: (_____)__________________
Guardian/Parent’s signature
SPECTATOR’S INFORMATION #1
Please check one: I am  Parent  Relative Coach  Advisor Please check one: I am  Female Male
Full name: (as it will appear on your passport-please print clearly) ____________________________________________________________________
Name as you would like it printed on your name tag: _______________________________________________________________________________
Work number: (_____)__________________ Home number: (_____)__________________ Cell number: (_____)____________________________
Birthdate: ____/____/____ I am the parent/relative/advisor/coach of: ______________________________________________________________
Medication allergies (please list)________________________________________________________________________________________________
TRAVEL INSURANCE - I WILL: Include $175 for travel insurance Get my own travel insurance  Not have any travel protection
(see for more info) Request for travel insurance will not be processed without $175 payment.
Citizenship:  USA  Other Country: ________________________ Roommate(s) name: ___________________________________________
(Spectators will be roomed with participants unless we receive a letter telling us differently.)
PLEASE RE-READ THE PAYMENT AND CANCELLATIONS SECTIONS BEFORE SIGNING THIS CONTRACT.
I/WE HAVE READ THIS BROCHURE AND UNDERSTAND AND ACCEPT ITS CONTENTS:
_______________________________________________________ DATE:____/____/____ Phone number: (_____)____________________________
Signature
SPECTATOR’S INFORMATION #2
Please check one: I am  Parent  Relative  Coach  Advisor Please check one: I am  Female  Male
Full name: (as it will appear on your passport-please print clearly) ____________________________________________________________________
Name as you would like it printed on your name tag: _______________________________________________________________________________
Work number: (_____)__________________ Home number: (_____)__________________ Cell number: (_____)____________________________
Birthdate: ____/____/____ I am the parent/relative/advisor/coach of: ______________________________________________________________
Medication allergies (please list)________________________________________________________________________________________________
TRAVEL INSURANCE - I WILL: Include $175 for travel insurance Get my own travel insurance  Not have any travel protection
(see for more info) Request for travel insurance will not be processed without $175 payment.
Citizenship:  USA  Other Country: ________________________ Roommate(s) name: ___________________________________________
(Spectators will be roomed with participants unless we receive a letter telling us differently.)
PLEASE RE-READ THE PAYMENT AND CANCELLATIONS SECTIONS BEFORE SIGNING THIS CONTRACT.
I/WE HAVE READ THIS BROCHURE AND UNDERSTAND AND ACCEPT ITS CONTENTS:
_______________________________________________________ DATE:____/____/____ Phone number: (_____)____________________________
Signature