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)
Check here if you are interested in USASF Coaches
Credentialing
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!
All-Star Cheer Coach
All-Star Gym Owner
School Dance Owner
All-Star Dance Director
Collegiate Cheer Coach
Rec Cheer Coach
All-Star Gym Director
School Cheer Coach
All-Star Dance Coach
All-Star Dance/Studio Owner
Collegiate Dance Coach
Rec Dance Coach
Credit Card
Check
Visa
MasterCard
Discover
Credit Card #
CVV
Exp. Date
Amount to be Charged
Cardholder's Name
Cardholder's Phone #
Cardholder's Initials
Credit Card Billing
Address
$169 Per Coach
/Owner
$159 Per Coach/Owner (If 2-4 coaches from your program are attending)
$149 Per Coach/Owner (If 5 or more coaches from your program are attending)
Per Coach (If you HAVE attended a JAM Brands Event in the 10-11 Season)
Click here if you have attended 4 or more JAM Brands events
*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
3% Admin Fee** = $
Balance Due = $
**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.
Small
Medium
Large
X-Large
XX-Large
2.
Small
Medium
Large
X-Large
XX-Large
3.
Small
Medium
Large
X-Large
XX-Large
4.
Small
Medium
Large
X-Large
XX-Large
5.
Small
Medium
Large
X-Large
XX-Large
6.
Small
Medium
Large
X-Large
XX-Large
7.
Small
Medium
Large
X-Large
XX-Large
8.
Small
Medium
Large
X-Large
XX-Large
NOTE: JAM U recommends coaches are atleast 18 years old to attend,
but not mandatory.