2014 UCA International All Star Championship - page 13

Gym Name__________________________ Team Name _______________________________________ City_________________________ State_________
Total # of Coaches ________ #of Adult Medical Release Forms Needed________ m Disney's All-Star Resort
Total # of Minors ________ #of Minor Medical Release Forms Needed________
ROOMING LIST
IMPORTANT: This form must be completed in order for your registration to be accepted. Reservations will be entered according to the
dates below and charged as such. List below names in full of people staying in either quad (4), triple (3), double (2), or single (1), rooms.
In parenthesis, specify one of the following for each person: (P) = Participant (C) = Coach (F) = Family/Friend
PLEASE NOTE: Rollaway beds are not available. (PLEASE PRINT OR TYPE) m FILL IN FOR UPGRADE TO 5 DAY PARK HOPPER. PLEASE COLOR IN FOR UPGRADE ONLY.
Deposits are due January 8, 2014 • BALANCE OF PAYMENT IS DUE FEBRUARY 12, 2014!
No changes can be made after February 18, 2014. If you have changes after this date, there will be a $50 fee per change.
This INCLUDES rooming changes not provided prior to February 18, 2014.
SINGLES (ONE IN EACH ROOM)
1. ( )( )( )( )m
1. ( )( )( )( )m
DOUBLES (TWO IN EACH ROOM)
1. ( )( )( )( )m
2. ( )( )( )( )m
1. ( )( )( )( )m
2. ( )( )( )( )m
TRIPLES (THREE IN EACH ROOM)
1. ( )( )( )( )m
2. ( )( )( )( )m
3. ( )( )( )( )m
1. ( )( )( )( )m
2. ( )( )( )( )m
3. ( )( )( )( )m
1. ( )( )( )( )m
2. ( )( )( )( )m
3. ( )( )( )( )m
QUADS (FOUR IN EACH ROOM)
1. ( )( )( )( )m
2. ( )( )( )( )m
3. ( )( )( )( )m
4. ( )( )( )( )m
1. ( )( )( )( )m
2. ( )( )( )( )m
3. ( )( )( )( )m
4. ( )( )( )( )m
1. ( )( )( )( )m
2. ( )( )( )( )m
3. ( )( )( )( )m
4. ( )( )( )( )m
SINGLES (ONE IN EACH ROOM)
1. ( )( )( )( )m
1. ( )( )( )( )m
DOUBLES (TWO IN EACH ROOM)
1. ( )( )( )( )m
2. ( )( )( )( )m
1. ( )( )( )( )m
2. ( )( )( )( )m
TRIPLES (THREE IN EACH ROOM)
1. ( )( )( )( )m
2. ( )( )( )( )m
3. ( )( )( )( )m
1. ( )( )( )( )m
2. ( )( )( )( )m
3. ( )( )( )( )m
1. ( )( )( )( )m
2. ( )( )( )( )m
3. ( )( )( )( )m
QUADS (FOUR IN EACH ROOM)
1. ( )( )( )( )m
2. ( )( )( )( )m
3. ( )( )( )( )m
4. ( )( )( )( )m
1. ( )( )( )( )m
2. ( )( )( )( )m
3. ( )( )( )( )m
4. ( )( )( )( )m
1. ( )( )( )( )m
2. ( )( )( )( )m
3. ( )( )( )( )m
4. ( )( )( )( )m
P/C/F Age Arrival Date Depart Date Ticket
Upgrade
P/C/F Age Arrival Date Depart Date Ticket
Upgrade
11
Please tear out along the perforations. You may make copies of this form.