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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

888-243-3782. 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.

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

www.tripmate.com/wpf440i

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

L O N D O N

2016-2017

VARSITY SPIRIT TOUR

NAMES & PHONE NUMBERS OF PEO-

PLE TO CONTACT IF NECESSARYWHILE

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

JEBurnett@varsity.com

or Chelsea

Simoneaux at

CSimoneaux@varsity.com

.

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, ITWILL BE

RETURNED TO YOU FOR COMPLE-

TION, PRIOR TO ACCEPTANCE.

OPTIONAL SOUVENIR DVD

Professionally-made DVD of our

All-American trip to London! DVD

includes tours, hotel, practice, perfor-

mance, 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.

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

www.tripmate.com/wpf440i

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

www.tripmate.com/wpf440i

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

DEPOSIT, TRAVEL INSURANCE AND DVD COST CAN BE INCLUDED IN ONE CHECK

THIS FORM MAY BE COPIED AS NEEDED