2017 Region 8 optional clinic Official Entry Form Club: Coach #1
Date 07.02.2018 Size 46.62 Kb. #39639
2017 Region 8 OPTIONAL Clinic Official Entry Form
Club:
Coach #1:
Club USAG#:
Coach USAG#:
Club Address:
Coach E-Mail:
Coach:
Club Phone #:
Coach USAG#:
Club E-Mail:
Coach E-Mail:
FORM MUST BE TYPED AND FILLED OUT COMPLETELY
Gymnast FIRST Name
Gymnast LAST Name
USAG #
Birthdate
(mm/dd/yyyy)
Clinic Level
(8, 9, or 10)
No JD Athletes
Junior Olympic
OR
Junior Elite
CHECKS PAYABLE TO: Region 8 Men's Gymnastics
Mail Entries to: Benji Stern 5400 Atlantic Springs Road , Raleigh, NC 27616
THIS IS A USA GYMNASTICS SANCTION EVENT SO ALL COACHES, ATHLETES , AND JUDGES MUST HAVE CURRENT USAG # ‘s TO BE ON THE FLOOR AT THE CLINIC – NO EXCEPTIONS
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