USA GYMNASTICS COMPETITION ENTRY FORM
NAME OF MEET:______________________________________________ DATE:________________________________
TEAM NAME:_________________________________________________ PHONE:_______________________________
TEAM ADDRESS:____________________________________________________________________________________
CITY:______________________________________________ STATE:_____________ ZIP:________________________
E-MAIL ADDRESS:____________________________________________ CLUB #________________________________
COACH(S) NAME:___________________________________________________________________________________
COACH USAG #:_________________________________________ SAFETY CERT. EXPIRATION DATE:________________


COMPETITOR
NAME		 ATHLETE
REGISTRATION #		 LEVEL AGE
DIVISION		 DATE OF
BIRTH		 U.S.
CITIZEN		 PETITION
PENDING
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