UCA National High School Cheerleading Championship

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Please tear out along the perforations. You may make copies of this form.
School/Team Name ___________________________________________ City_______________________________ State______________
For cancellations received on or before January 8, 2015, all monies will be refunded with the exception of the one hundred dollars ($100.00) per
person deposit. For cancellations between January 9 and January 15, 2015, an additional $100.00 per person penalty will apply to cover hotel
and entertainment guarantees. Cancellations received after January 15, 2015 will result in a FULL FORFEITURE of all monies due. All cancellations
must be in writing to the National High School Cheerleading Championship. We will not accept cancellations by phone. Deposits from cancella-
tions cannot be applied toward your balance. CANCELLATIONS can be emailed to , or faxed to attention:
Missy Miller at 1-800-969-8295 or 901-387-4357.
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. I will also make sure that this account is paid in full, including any extra fees as a result of cancellation.
______________________________________________________ __________________________________________________
Advisor/Coach’s Signature Date
______________________________________________________ __________________________________________________
Principal Signature Date
Each adult traveling on the travel package and each participant’s parent must sign below. We have read the cancellation policy and under-
stand and accept its contents. Your application will not be entered without ALL signatures.
1.______________________ 11. ____________________ 21. ____________________ 31. ____________________
2.______________________ 12. ____________________ 22. ____________________ 32. ____________________
3.______________________ 13. ____________________ 23. ____________________ 33. ____________________
4.______________________ 14. ____________________ 24. ____________________ 34. ____________________
5.______________________ 15. ____________________ 25. ____________________ 35. ____________________
6.______________________ 16. ____________________ 26. ____________________ 36. ____________________
7.______________________ 17. ____________________ 27. ____________________ 37. ____________________
8.______________________ 18. ____________________ 28. ____________________ 38. ____________________
9.______________________ 19. ____________________ 29. ____________________ 39. ____________________
10. ____________________ 20. ____________________ 30. ____________________ 40. ____________________
*If your qualifying competition takes place in October or November, this packet and deposit are due December 4, 2014.
*If your qualifying competition takes place in December, this packet and deposit are due December 17, 2014.
Balance of payment is due January 8, 2015.
CANCELLATION POLICY
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