2008 USA GYMNASTICS
PENNSYLVANIA STATE CHAMPIONSHIPS FOR LEVEL 8
April 5 & 6, 2008
ENTRY FORM FOR LEVEL 8 (Please type or print clearly)
Team Name: Gym Phone: ( )
Address: Gym Fax
HEAD COACH: USAG # SAFETY CERT EXP DATE
ASST COACH: USAG # SAFETY CERT EXP DATE
ASST COACH: USAG # SAFETY CERT EXP DATE _
ASST COACH: USAG # SAFETY CERT EXP DATE
COMPETITOR NAME |
USAG# |
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DOB |
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2 |
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3 |
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4 |
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5 |
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6 |
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7 |
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8 |
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9 |
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10 |
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11 |
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12 |
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13 |
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14 |
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15 |
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16 |
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Gymnast(s) Entry at $85.00 = $ Make checks payable to: Dynaparents
Teams at $50.00 each 1310 Commerce Park Drive
Williamsport, PA 17701
TOTAL AMOUNT ENCLOSED: $ dynamats @epix.net
Fax (570)326-3072
ENTRIES SHOULD BE SENT BY EMAIL OR FAX BY MARCH 21, 2008.
THERE WILL BE A $25 LATE FEE FOR ENTRIES RECEIVED AFTER MARCH 21, 2008
** Coaches should be prepared to pay for Regionals
with a club check at the State Meet. **
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
Click HERE for a PDF version of this form.
Click HERE for a WORD document version of this form.