Gym: Club#:
Address:
Email: Phone:
Coach: USAG#:
Gymnast Name USAG# Level 05/06 Level 06-07 Date of Birth Cost
$55.00
$55.00 Fill out Form Submit below and Mail Check Cost :$55.00 per gymnast Make check payable to: IL WPC Mail To: Kris Eisenmann, 231 Lehigh Lane, Bloomingdale, IL 60108 Any Questions please email Kris: emann4@sbcglobal.net
*** Please note*** Camp requirements are: Straight arm Kip, round off back handspring, cartwheel on beam, handspring over the table and able to perform routines on all four events at the level entered. If a level 5 gymnast will be moving to 6, but not yet competitive ready at 6, write 5/6 under level.
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