1. Completely fill out ONE "Registration Form" per program.  
  2. Attach payment. You must submit a $50.00 non-refundable deposit per coach by 4/25/11 You may pay the full fee at any time prior to 5/25/11. Payments for deposit and balance must be made with one check (no personal checks), money order or credit card. If paying by credit card, please complete the credit card section of this form OR submit a "Credit Card Payment Form."  
  3. No gym check will be accepted after 5/25/11. Only certified checks, money orders or credit cards will be accepted.  
  4. Mail or fax "Registration Form" with payment.  

 



*Rate may increase as JAM U gets closer!
     
  Name   Organization
  JAM Rewards Number   Home Address
  City/State/Zip   Email Address
  Phone (Day)   (Cell)
  (Fax)  
  A 50% refund will be available to those withdrawing from the event PRIOR to 5/25/11. Once this deadline has passed, absolutely NO refunds will be allowed. All refund requests must be IN WRITING!  

 




Rec Cheer Coach
 



Rec Dance Coach
 

Credit Card #
CVV
Exp. Date
Amount to be Charged
Cardholder's Name
Cardholder's Phone #
Cardholder's Initials
Credit Card Billing
Address

 
/Owner
*If two or more paid coaches attend then two owners
can attend for FREE. This discount will be automatically
deducted.

Owner Fee: $ x Number of Owners =$
Conference Fee: $ x Number of Coaches =$
         
*Payment due by 5/25/11
**A 3% administrative fee will be added to all transactions. This
fee will be waived if using cash, check or money order. I
understand that by signing my initials in this form, the 3%
administrative fee will be included in my total.
Student Names   T-Shirt Size
1.  
2.  
3.  
4.  
5.  
6.  
7.  
8.  
NOTE: JAM U recommends coaches are atleast 18 years old to attend,
but not mandatory.