Coach: Pro#: Exp: Safety Exp: 
Coach: Pro#: Exp: Safety Exp: 
Coach: Pro#: Exp: Safety Exp: 
Coach: Pro#: Exp: Safety Exp:

Competitor Name                             USAG#               Birthdate             















 Comments:
 
* Age Groups are determined by birthdates
***By Submitting below Clubs are FINANCIALLY RESPONSIBLE for all gymnasts entered on this form.

ENTRY DEADLINE: Please Check the Competition Summary Chart to Find entry fee deadline information

TEAM ENTRIES: there will be NO charge for TEAM ENTRIES.  all teams will be entered AUTOMATICALLY. 

I hereby acknowledge all rules and regulations handed down by USA Gymnastics and the State Director. 
 I have read and understand all information pertaining to this meet.  This entry form contains all the proper names, Birthdates,
USAG numbers, and legal levels.
By Submitting my name on this form I understand that I am Financially Responsible for all gymnasts listed on this form.

       Person Submitting Form:                    Date: