Greensboro Gymnastics Invitational
February 10-12, 2012
Entry Deadline: December 19, 2011

Men's USAG Levels 4-10

Club Name:		Club USAG #:
Address:
Phone:		Email:
City:		State:		Zip:
Fax:
Coach:		USAG #:		Safety Exp:
Coach 2:		USAG #:		Safety Exp:

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Please complete the following information for each gymnast

Last Name:
First Name:
USAG Number:
Level:
Age Division:
Birthdate (mm/dd/yy):
Team Competition:
US Citizen:

Total Number Of Gymnasts: x $60 =

Team Entry:
Level 10
Level 9
Level 8
Level 7
Level 6
Level 5
Level 4

Total Number Of Teams: x $40 =

Total: