2014 UEA registration page 1.pdf 2014-15 UEA ALLSTAR REGISTRATION PACKET | Page 5

United Elite Allstar Cheer PAYMENT options Choose one: TUITION: Includes team practices, tumbling class, flight class, extra practices, choreography, custom music, practice wear, USASF membership fees, insurance, team photos, and banquet ticket. ___Payment Plan: Deposit of $200 due at registration. 11 monthly payments of $172, July 1, 2013 – May 1, 2014 (Mini team: $142) Discounts for siblings and boys! OR ___Pay in Full: Save 5%! -ALL payment plan accounts are required to be on the Auto-Pay system. Team Items: Camp payments: $150 due June 15, $150 due July 15 (4 day campers) $75 due June 15, $75 due July 15 (2 day campers) Competition fees: $160 due August 15, September 15, October 15, November 15 -ALL camp payments and competition fees will be charged on the Auto-Pay system. I, _______________________________________________ parent of ________________________________________________ (Print name of parent/legal guardian) (Print name of team member) understand and agree the following: • I understand and agree that tuition payments are due on the 1st of the month • I understand that if I choose not to participate in fundraisers, I am responsible for the entire balance. • I understand that I am subject to a charge of $20.00 if my Auto-Payment is declined or returned for any reason. Delinquent payments will be grounds for my child n ot competing, possible dismissal and my being sent to a professional collections agency and/or small claims court. • I also understand and agree that as a parent signing the contract; I am solely responsible for all costs associated with my child participating in the United Elite Allstar Cheerleading program. All fees are Non-refundable. • If I choose to leave the program for any reason prior to May 25, 2015, I am subject to a $750 re-choreography fee. _______________________________________ Parent/Guardian signature _________________ Date MANDATORY: I understand and agree to allow United Elite Athletics to charge the following credit/debit card or bank account according to the above payment schedule and for any additional costs my child incurs in the event I do not have payment in before the scheduled due dates. Credit/Debit Card Visa___Mastercard___ Account number_____________________________________________________ Name on card___________________________________________Expiration date_________________ Billing address___________________________________________City,State_____________________ Cardholder signature_______________________________________________ Date_______________ Bank Account Name on Account_____________________________________________________________________ Routing number________________________________ Account number_________________________