Team address: club number: coaches name



Download 72.67 Kb.
Date16.01.2018
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2017 WINTERBOWL – January 6-8, 2017

TEAM NAME:

PHONE:

 

 

 

 

EMAIL:

 

FAX:

 

 

 

 

TEAM ADDRESS:

CLUB NUMBER:

 

 

 

 

 

 




COACHES NAME:

 

 

 

COACHES NAME:

COACHES USAG#:

COACHES NAME:

 

COACHES NAME:

COACHES USAG#:

 

COACHES USAIG #:

COACHES NAME:

 

COACHES NAME:

COACHES USAG#:

 

COACHES USAIG #:

GYMNAST INFORMATION:

LAST NAME

FIRST NAME

ATHLETE #

DATE OF BIRTH

AGE

LEVEL

SHIRT SIZE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Entry Fee USAG Level 1-2/USAIGC Copper/Xcel Bronze-Silver $60 per gymnast

_____________x $60.00

Total:___Make_Checks_Payable_to:__Coasters_Booster_Club'>Total:


Make Checks Payable to: 

Coasters Booster Club

Mail Entries to:

Atlantic Coast Gymnastics

1041 Glassboro Road, B-4

Williamstown, NJ 08094

EMAIL:  atlanticcoastgymnastics@gmail.com

Registration Deadline: December 3, 2016

No refunds or substitutions after December 17, 2016





 




 

 

 

Entry Fee USAG Levels 3-5/USAIGC Bronze/Xcel Gold $70 per gymnast

_____________x $70.00

Total:










 

Entry Fee USAG Levels 6-10/USAIGC Silver-Premier $80 per gymnast

_____________x $80.00

Total:










 

Entry Fee XCel Platinum-Diamond $80 per gymnast

_____________x $80.00

Total:










 

USAIGC Event Specialist $15 per event

_____________x $15.00

Total:










Team Fee - $50 Per Level

____________ x $50.00

Total:

TOTAL ENCLOSED:

 

 


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