Please tear out along the perforations. You may make copies of this form.
CANCELLATION
POLICY:
For cancellations received
on or before
December 3, 2014, all monies will be
refunded with the exception of the one
hundred dollars ($100.00) per person
deposit. For cancellations
between
De-
cember 3, 2014 and January 6,
2015, an additional $100.00 per per-
son penaltywill apply to cover hotel and
entertainment guarantees. Cancella-
tions received
after
January 6, 2015
will result in a
FULL FORFEITURE
of all
monies paid. All cancellations must be
in writing to the National Dance Team
Championship. We will not accept
cancellations by phone. Deposits from
cancellations
cannot
be applied
toward your balance.
I have read the cancellation policy
and understand and accept its con-
tents. I have also advised all partici-
pants, parents and chaperones of my
group of this cancellation policy.
________________________________
Main Contact Signature
____________________________________
Date
Each adult traveling on the
travel package and each
participant’s parent must
sign below. “We have read
the cancellation policy and
understand and accept its
contents.” Your application
will not be entered without
all signatures.
____________________________
____________________________
____________________________
____________________________
____________________________
____________________________
CREDIT CARD PAYMENT:
If any family members wish to charge their deposit or balance of payment on a
credit card, we accept VISA, MasterCard, Discover or American Express. Below list
the person wishing to charge, their credit card number, expiration date and amount
to be charged along with their signature. Please send this information along with
your registration.
(One form per family group.)
CREDIT CARD TYPE:
m
VISA
m
MC
m
AMEX
m
DISC
Exp. Date: ___/___/___
Total Amount Charged: $_________________
Account Number:
nnnn nnnn nnnn nnnn
m
Deposit
or
m
Balance of Payment*
Name (Print)
Signature
School or All Star Team Name
Billing Address*
City, State Zip
Daytime Phone Number Cell Phone Number
Email Address
If this credit card payment is not for your entire group, please list
person(s) and amounts to be paid with this credit card.
Person(s)
Amount
1. ________________________________________ ____________
2. ________________________________________ ____________
3. ________________________________________ ____________
4. ________________________________________ ____________
5. ________________________________________ ____________
6. ________________________________________ ____________
7. ________________________________________ ____________
8. ________________________________________ ____________
9. ________________________________________ ____________
10. ________________________________________ ____________
*Please complete this form for each charge (i.e. charge your deposit
in October and then complete another charge form in
December to charge your balance).
Balance of payment due by December 3, 2014.
FRIENDS AND FAMILY REGISTRATION FORM
DUE OCTOBER 23, 2014
26
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m
Disney's All-Star Resort
m
Disney's Caribbean Beach Resort
