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					                          South West Region National Grades 8,7,6,5
                        Wiltshire School of Gymnastics, Melksham
                                   Date:14th March 2010
Entry Closing Date: 20th February 2010 (no late entries will be accepted)

Club:                                                        BG Club No.                    SWAGA No.

Contact Name:                                                Telephone:
Contact Address:

                                                             Postcode:
E-Mail Address:

Gymnast’s Name                                          DOB                GRADE               BG Membership No.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.

Coaches Names                           Membership Number                        Coach Qualification
1.
2.
Judge Name                              Membership Number                        Judge Qualification
1.

When submitting entries for a South West Region WTC event the onus is on the club & coaches to ensure that the
coaches attending are to the participants are qualified to the level of the participant’s performance. I can confirm
that the above criterion has been adhered to.

Signed:…………………………………………………..Print Name:………………………..

Entry Fee enclosed @ £16 per gymnast.= £…………………..One cheque for ALL gymnasts. (payable in
advance!!!) All cheques made out to:- S.W.A.G.A.

Entries to Sian Lythell, 4 School Road, Seend, Melksham, Wiltshire, SN12 6NJ. Mobile:07894084387
E-mail: sianlythell@talktalk.net

				
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