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					Official Men’s USA Gymnastics Meet Entry Form
Meet Name Date Club Name Club Address Zip Team Name Coaches Name Coaches Name Coaches Name Email Address: Athlete Name USAG # Meet Level Club # City Phone Safety Certified? USAG # USAG # USAG #

Level

Birthdate

Age Group

US Citizen Y/N

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 # of Gymnasts X Entry Fee Team Fee Total Fee Enclosed $ $0 $

I hereby acknowledge all rules and regulations handed down by USA Gymnastics and the State Director. I have read and understand all information pertaining to this meet. This entry form contains all the proper names, ages and USAG numbers and classes of gymnasts. This form was prepared and filed out by: __________________________________________


				
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Description: Official Men’s USA Gymnastics Meet Entry Form