GYM / CLUB:
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GYM PHONE #:
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ADDRESS:
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OTHER PHONE:
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E-MAIL: :
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COACH 1
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COACH UASG #:
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COACH 2:
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COACH USAG #:
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PLEASE GROUP GYMNASTS BY CLASS AND AGE GROUP
GYMNASTS NAME
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LEVEL
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AGE
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AGE GROUP
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D.O.B.
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USAG #
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Fee is $40.00 per gymnast made payable to: NJUSAG
E-mail this completed form to: mjonuska@aol.com
Deadline for email entry form is Jan. 2, 2010
If you miss this dead line there is a $10.00 late fee per gymnast.
Mail Registration Form and payment to:
Sunburst Gymnastics, c/o Mike or Chris O.
565 Rahway Ave.
Union, NJ 07083
Deadline for payment is Jan. 16, 2010
If you miss this dead line there is a $10.00 late fee per gymnast.
Form Date: 10-15-09
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