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Please follow all directions carefully. Refer to the National R & P, then use this petition as consideration of a non-USAG athlete (YMCA / YWCA, Park District) for competition in the USAG system. Please complete the entire form and submit separate copies, along with video tape to:
Organization Name: ______________________________________________ Phone ____________________ Organization Address: ____________________________________ City: _______________ Zip __________ Your Name: ________________________________________ Position:______________________________ Athletes Name: _________________________________________________ Date of Birth: ______________ Athletes previous affiliation: ________________________________________________________________ Previous affiliate contact _________________________________________ Phone ____________________ Describe athlete’s Background: _______________________________________ ________________________________________________________________ ________________________________________________________________ Support Materials: 1 Video Tape 1 Score Sheets (Must include Video tape) Disposition of Eligibility Petition From the State Chair: 1 Petition Approved X __________________________________ Petition Denied __________________________________ Reason for Denial _______________________________________________________________ From the JO Chair: 1 Petition Approved X __________________________________ Petition Denied __________________________________ Reason for Denial _______________________________________________________________ From the Level Chair: 1 Petition Approved X __________________________________ Petition Denied __________________________________ Reason for Denial _______________________________________________________________
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This is the official web site of Illinois USA Womens Gymnastics.
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