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For more information on:
gymnastics classes,
gymnastics or climbing wall birthday parties,
or Vertical Reality,
Lycoming County's first indoor climbing wall,
please follow the links
or call (570) 326-2868.

Dynamats Gymnastics Center is located at
1310 Commerce Park Drive, Williamsport, PA 17701

 

 

2014 Dynamats Spring Qualifier

(Climb High 2)

Registration Form

 

Club Name:      ________________________________________________  Gym Telephone: ________________________

 

Address: ____________________________________________________________________________________________

 

Gym Fax: _______________________ Gym Email: ________________________________

 

Club USAG #: ________________________  Club USAIGC #: ________________________


Head Coach:

USAG #

USAIGC #

Safety Cert. Exp. Date

 

 

 

 

Assistant Coach

USAG #

USAIGC #

Safety Cert. Exp. Date

1.

 

 

 

2.

 

 

 

3.

 

 

 

 

 

Competitor Name

USAG #

USAIGC #

Level

Age

Date of Birth

 

 

 

 

 

 

 

1

 

 

 

 

 

 

2

 

 

 

 

 

 

3

 

 

 

 

 

 

4

 

 

 

 

 

 

5

 

 

 

 

 

 

6

 

 

 

 

 

 

7

 

 

 

 

 

 

8

 

 

 

 

 

 

9

 

 

 

 

 

 

10

 

 

 

 

 

 

11

 

 

 

 

 

 

12

 

 

 

 

 

 

13

 

 

 

 

 

 

14

 

 

 

 

 

 

15

 

 

 

 

 

 

16

 

 

 

 

 

 

 

$60 - USAG Level 1-6 & IGC


____ Gymnasts entered at $60.00 each


___________ Total amount due



Special Registration Instructions:

If you desire a Word file to print and mail or attach to email, click
here.
For a PDF, click here

Our fax system is currently not functional, and all entries must be emailed or sent by snail mail.
Dynamats is sorry for any inconvenience.

Make checks payable to:

Dynaparents 

1310 Commerce Park Drive 

Williamsport, PA 17701

 

Email to: Dynaparents

 

* ENTRIES SHOULD BE REGISTERED BY: March 19, 2014

SCRATCH DEADLINE IS: March 28, 2014

* There will be a $15.00 late fee assessed on registrations.

 

PLEASE MAKE SURE YOUR EMAIL ADDRESS OR FAX NUMBER IS LISTED ON THE ENTRY FORMS SO THAT A ROSTER AND SESSION SCHEDULE CAN BE SENT TO YOU PRIOR TO THE MEET.

 

 

 

© Sandra Grafius
Updated February 20, 2014 7:54 PM
Contact DYNAMATS