Official USAG Sanctioned Event Entry Form

Meet Name:    Meet Date:
Club Name      Club USAG#:
Team Name(if different):  
Club Address:
City: State: Zip: Region:
Club Phone: Contact Email:
Name of Coaches Pro # Pro Exp. Date Safety Exp. Date Background Exp. Date Cell Phone
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Athlete Name USAG # Level Age as of Sept 1st. Age
Group Entered		 Birth Date US Citz?
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(NEW!) A gymnast MUST compete as of his age on September 1 unless he is moving up to the next level. All gymnasts must be at least 6 to compete.

I hereby acknowledge all rules and regulations handed down by USAGymnastics and the State or Regional Director.  I have read and understand all information pertaining to this meet.  This entry form contains all of the proper names, ages and USAG numbers and classes of my gymnasts.

This for was prepared and filled out by;   (signature)___________________________________________