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Please tear out along the perforations. You may make copies of this form.
UCA GAME DAY CHAMPIONSHIP REGISTRATION FORM
2015 UCA GAME DAY CHAMPIONSHIP AT THE NATIONAL HIGH SCHOOL CHEERLEADING CHAMPIONSHIP
•
P
LEASE
C
OMPLETE IN
BOTH
ADDRESSES
(
PRINT OR TYPE IN BLUE OR BLACK INK
)
•
m
P
LEASE SEND INFO TO OUR
SCHOOL ADDRESS B
ELOW
:
School/Team Name
Contact Person
School/Team Address
City, State, Zip
( ) ( )
School Phone School Fax
Qualifying Competition
Date
m
P
LEASE SEND INFO TO THE
HOME ADDRESS B
ELOW
:
Person to Receive Information
Home Address
Home City, State, Zip
( ) ( ) ( )
Work Phone Home Phone Cell Phone
E-mail Address
LIST YOUR
FEDEX SHIPPING ADDRESS
BELOW
(
NO P
.
O
.
BOXES
,
PLEASE
):
Person to Receive Information
Street Address
City/State/Zip
( )
Daytime Phone Email Address
( )
Cell Phone
P
LEASE COMPLETE
ONLY
IF YOU ARE NOT PURCHASING
THE
NHSCC T
RAVEL
P
ACKAGE
!
m
Our team will
NOT
be attending on the NHSCC travel package. We will be making our own arrangements. Listed below is infor-
mation regarding where we will be staying in Orlando, including a phone number.
Hotel Name
Name Registered Under
Hotel Address
( )
/ /2015
Hotel Phone Date of Check-in
Advisor’s Signature
Number of Advisors Number of Participants
T
HIS FORM IS DUE EVEN IF YOU ARE
NOT
ATTENDING ON THE
NHSCC
TRAVEL PACKAGE
.
On-line Registration is also available on uca.varsity.com.
If you have family members flying separately from the teams, we suggest they register with
us separately in order to receive their tickets, nametags, etc. when they arrive.
If your qualifying competition takes
place close to your deadline, we
suggest you have all paperwork
ready to mail immediately after your
competition. Our hotels fill quickly
and sometimes fill prior to
the deadline date.
*If your qualifying competition takes
place in October or November, this
packet & deposit are due
December 4, 2015.
*If your qualifying competition takes
place in December, this packet and
deposit are due December 17, 2015.
HOTELS MAY FILL UP PRIOR TO
PUBLISHED DEADLINES.
BALANCE OF PAYMENT
IS DUE
JANUARY 8, 2015!
PLEASE CHECK ONE:
VARSITY DIVISIONS
m
Small Varsity
12th grade & younger, 5-12 team members
m
Medium Varsity
12th grade & younger, 13-16 team members
m
Large Varsity
12th grade & younger, 17-20 female team members
m
Super Varsity
12th grade & younger, 21-30 female team members
m
Small Varsity Coed
12th grade & younger, 5-20 team members, 1 to 4 males
m
Medium Varsity Coed
12th grade & younger, 21-25 team members,
4 to 7 males
m
Large Varsity Coed
12th grade & younger, 21-30 team members,
8 or more males
NON BUILDING DIVISIONS
m
Varsity Non Building
12th grade & younger, 5-30 team members
NON TUMBLING DIVISIONS
m
Varsity Non Tumbling
12th grade & younger, 5-30 team members
(up to 2 males allowed)
REGISTRATION FEES
If your team is also competing with a
performance routine.
There will be a $15 per participant fee
that will be charged to compete in the
UCA Game Day Championship.
$15 x ______ number of participants =
Total __________
All NHSCC pricing on the
accommodations page is applicable
for those only competing in the
UCA Game Day Championship.