2016 JUNIOR NATIONALS
EVENT PACKAGE REGISTRATION FORM
EVENT PACKAGE A
Knott’s Berry Farm Hotel
(Please Print or Type)
School/Team___________________________________________ Contact ______________________________________________
Contact Address (Not a P.O. Box) ________________________________________________________________________________
City__________________________________________________ State_____________________ Zip _________________________
Work Phone ________________________________________ Home Phone _____________________________________________
Fax __________________________________________________ Cell _________________________________________________
E-mail ____________________________________________________________________________________________________
HOTEL CHECK-IN IS AFTER 4:00 PM
TOTAL # OF ROOMS_____________@ $145.00 PER ROOM, PER NIGHT. (Maximum occupancy is four per room).
Rooms will be booked on a first come, first served basis. The hotel block may be filled before the hotel registration deadline (January 5,
2016). Therefore, rooms are not confirmed until you receive confirmation back from the USA office.
Please note that The United Spirit Association is not responsible for any planned or unplanned hotel renovations, attraction closures, etc.
at the Knott’s Berry Farm® Hotel before, during, and after the Junior Nationals event. The Knott’s Berry Farm® Hotel will make every
effort to provide minimal disruptions to guests. The cancellation/refund policies outlined in the Junior Nationals’ Bid Packet will remain in
effect regardless of hotel renovations, attraction closures, etc.
Please list total number of rooms needed each day in the appropriate square. The days below are the only dates available at this price.
February 25-Thursday
February 26-Friday
February 27-Saturday
February 28-Sunday
February 29-Monday
TOTAL AMOUNT DUE:
TOTAL # OF ROOMS
$
HOUSING FORM
Please fill out a housing form (rooming list) for the Knott’s Berry Farm Hotel (page 13) for each room.
-- If selecting Package A, this page must be sent in with the Review Sheet on Page 12 –
THIS FORM IS DUE WITH REGISTRATION
PLEASE DO NOT FAX THIS FORM. ALL ORIGINALS NEED TO BE SUBMITTED TO THE USA OFFICE.
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2016 JUNIOR NATIONALS
EVENT PACKAGE REGISTRATION FORM (B – F)
ONLY SUBMIT ONE COPY OF THIS PAGE PER SCHOOL/TEAM
(Please Print or Type)
School/Team____________________________________________ Contact ____________________________________________
Contact Address (Not a P.O. Box) _______________________________________________________________________________
City___________________________________________________ State___________________ Zip _________________________
Work Phone _______________________________________ Home Phone _____________________________________________
Fax _________________________________________________ Cell _________________________________________________
E-mail ____________________________________________________________________________________________________
EVENT PACKAGES B  C  D  E F(Does Not Include Hotel Lodging)
EVENT PACKAGE B
Competition Fee & Knott’s Berry Farm® Tickets (Competitors Only)
1 complimentary chaperone park ticket for every 20 purchased i.e. twenty park tickets purchased = 1 complimentary chaperone ticket. Total counted will be from Package B & D.
# of paid tickets (Do not include complimentary tickets)
_______ B1 - $90.00 per person (Competition Fee +One-Day Knott’s Berry Farm®) $ ___________ PACKAGE B TOTAL: $___________________
EVENT PACKAGE C1 – C2
(Additional Categories/Crossovers)
# of people
_______ C1 - $10.00 per person (Crossover Fee) $ ______________ (Participants competing in more than one division.)
_______ C2 - $65.00 per group (Group Stunt)
$ ______________
PACKAGE C1-C2 TOTAL: $___________________
EVENT PACKAGE D
Knott’s Berry Farm® Tickets, includes a one-day competition spectator wristband (Non-Competitors – Coaches/Spectators Only) 1
complimentary chaperone park ticket for every 20 purchased i.e. twenty park tickets purchased = 1 complimentary chaperone ticket. Total counted will be from Package B & D.
# of paid tickets (Do not include complimentary tickets)
_______ D - $40.00 per person (One-Day Knott’s Berry Farm®) $ ______________
# of tickets purchased B + D = __________
PACKAGE D TOTAL: $___________________
# of Complimentary Tickets ___________
EVENT PACKAGE E1 – E2
# of people
Competition Spectator Wristband/General Admission Ticket ( Non-Competitors -- Spectators Only)
Package E does not include admission to Knott’s Berry Farm® Park
Theme park ticket to Knott’s Berry Farm® necessary to get into the competition venue
_______ E1 - $15.00 per person (10 yrs and older)
_______ E2 - $7.00 per person (Children 3-9 yrs old)
PACKAGE E1 – E2 TOTAL: $___________________
EVENT PACKAGE F1 – F6
Disneyland® Resort Tickets
1 complimentary chaperone park ticket for every 20 purchased of the same ticket type i.e. twenty 2 day park hoppers purchased = 1 complimentary chaperone 2 day park hopper ticket.
# of paid tickets (Do not include complimentary tickets)
_______ F1 - $99.00 per person (One-Day Disney California Adventure® Park only) $ ______________ # of Comp Tickets _____________
_______ F2 - $99.00 per person (One-Day Disneyland® Park only) $ _______________________
# of Comp Tickets ______________
_______ F3 - $146.00 per person (1-day Park Hopper® Pass)
$ _______________________
# of Comp Tickets ______________
_______ F4 - $184.00 per person (2-day Park Hopper® Pass)
$ _______________________
# of Comp Tickets ______________
_______ F5 - $220.00 per person (3-day Park Hopper® Pass)
$ _______________________
# of Comp Tickets ______________
_______ F6 - $258.00 per person (4-day Park Hopper® Pass)
$ _______________________
# of Comp Tickets ______________
PACKAGE F1 – F6 TOTAL: $___________________
THIS FORM IS DUE WITH REGISTRATION
PLEASE DO NOT FAX THIS FORM. ALL ORIGINALS NEED TO BE SUBMITTED TO THE USA OFFICE.
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2016 JUNIOR NATIONALS
REVIEW SHEET
(Please Print or Type)
SCHOOL/TEAM________________________________________________________________________________________________
THIS FORM MUST BE RETURNED WITH EVENT PACKAGE REQUEST.
Please transfer total amounts from pages 10 & 11 to this Review Sheet:
PACKAGE A – Hotel Package
TOTAL AMOUNT – A $_________________
PACKAGE B – Competitors Only
TOTAL AMOUNT – B $_________________
PACKAGE C1-C2 – Additional Categories (Crossover & Group Stunt)
TOTAL AMOUNT – C $_________________
PACKAGE D – Non-competitors-Knott’s Berry Farm® Tickets
TOTAL AMOUNT – D $_________________
PACKAGE E1-E2 – Non-competitors-Competition Spectator Wristband Only
TOTAL AMOUNT – E $_________________
PACKAGE F1-F6 – Disneyland® Resort Tickets
TOTAL AMOUNT – F $_________________
LATE FEE: Registration received in the USA office after January 26, 2016
(Must receive approval from the USA office before submitting)
$20 late fee x ________ Competitors =
LATE FEE
$_________________
$
GRAND TOTAL
DEPOSIT FOR PACKAGE A
($25.00 per person, due January 5, 2016) OR
DEPOSIT FOR EARLY REGISTRATION
$
(50% of grand total due.)
BALANCE DUE (January 26, 2016)
$
For Package A return all forms with your deposit by January 5, 2016. The balance of this package is due by January 26, 2016. For Packages B, C, D, E & F send forms
and complete payment by January 26, 2016. There will be no full or partial refunds after January 26, 2016. At least ten days prior to the event, you will receive
information regarding performance schedules, maps and general information pertaining to February 27-28, 2016.
Please submit only ONE payment form -- unfortunately we cannot accept payments from individual squad members. Make checks payable to “United Spirit
Association”. Please do not send cash, individual personal checks or organizational checks. Forms of payment accepted: school purchase order, school check,
money order, cashier’s check and credit card. If you are paying with a purchase order, make sure to include the registration forms and the name of the school on the
purchase order. School purchase orders must be paid in full at least 14 days prior to the event. Teams will be responsible for the full registration fees for cancellations
past the cancellation deadline (January 26, 2016) or no shows on the day of the event. Payment may also be made by American Express, VISA, Discover Card or
MasterCard by using the space for credit card information below. Only one credit card may be used. Declined credit cards are a basis for immediate cancellation of
your registration. There will be a $50 return check fee or declined credit card fee.
Card Number




VISA
MASTERCARD
AMERICAN EXPRESS
DISCOVER CARD
Expiration Date
Dollar Amount
CVV#
Cardholder’s Name (please print)
Cardholder’s Signature
Telephone
Billing Address
Billing Zip Code
THIS FORM IS DUE WITH REGISTRATION
PLEASE DO NOT FAX THIS FORM. ALL ORIGINALS NEED TO BE SUBMITTED TO THE USA OFFICE.
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