CREDIT CARD PAYMENTS FOR DEPOSIT
If anyone would like to charge their deposit on a credit card, we accept VISA, MasterCard, American Express or Discover. Below list
the person wishing to charge, their credit card number, expiration date and amount to be charged along with their signature.
*WE MUST HAVE YOUR FULL BILLING ADDRESS IN ORDER TO PROCESS A CHARGE.
____________________________________________________________________________________________________________________________________________
Card Holder Name
____________________________________________________________________________________________________________________________________________
Address (city, state, zip)
____________________________________________________________________________________________________________________________________________
Team/School Name
____________________________________________________________________________________________________________________________________________
Team/School Address (city/state/zip)
VISA
MC
AMEX
DIS Exp. Date _____ /_____ /_____
Card #
oooooooo oooo oooo
Amount Charged _______________________________________
o
Deposit
o
Full payment
Signature ___________________________________________________________________________________________________________________________________
Daytime or Cell Phone # (_______)_______________________________________________________________________________________________________________
Email _______________________________________________________________________________________________________________________________________
There will be many girls, boys, parents, and UCA/UDA staff traveling to Orlando as part of this event. We are looking forward to a great Thanksgiving tour, and would like to take this
opportunity to assure all parents that our main concern is each participant’s safety. Therefore, we have established the following rules of conduct and behavior for each participant while on
tour. Each participant was chosen as an All-American CHEERLEADER or DANCER and it is indeed an honor, as they are representing their state, hometown, school, and most of all family
and themselves.
Varsity Brands, Inc., asks each participant and their parents to carefully read and understand the necessity of following these rules. Parents and participants must both sign this form and return
it (with registration and other attached forms) to the UCA/UDA office. Please remember that we want you to have a great time, but within the parameters of this agreement.
1. A chaperone/adult (age 21 and over) is required to attend with participants. This chaperone will be responsible for participants outside of scheduled rehearsals and performances (free
time) including but not limited to swimming, free time at event site or hotel.
2. UCA/UDA is not responsible for participants on their free time.
3. It is my responsibility to learn my routine from the video sent to me and to pack and bring all of my uniform to Orlando.
4. I understand that during the independent or free time on this tour, I will be able to sightsee or shop with my chaperone.
5. The use of alcohol and/or any other controlled substance is strictly PROHIBITED AND FORBIDDEN. No smoking is allowed. Failure to comply will result in immediate dismissal and a
letter to your coach and principal.
6. I will be expected to be on time for all tours, sightseeing excursions, rehearsals, and performances.
I understand and agree that any infraction of these rules and conditions could cause my immediate expulsion from the tour and result
in my being sent home at my parent’s expense without refund for unused portions of the trip.
________________________________________________________
Participant’s Signature
________________________________________________________
Date
________________________________________________________
Parent’s Signature
________________________________________________________
Date
To be completed and returned for participants only.
RETURN TO: UCA/UDA Thanksgiving Tour
P.O. Box 752790 Memphis, TN 38175-2790
IF YOU FAIL TO COMPLETE ANY PART OF THIS FORM, IT WILL BE RETURNED TO YOU FOR COMPLETION, PRIOR TO ACCEPTANCE.
UCA/UDA ALL-AMERICANS
RULES OF CONDUCT AND BEHAVIOR
