Registration-Packet

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					                                                 The Frostbite Invite                             Email or Mail Registration Worksheets
                                                                                                     to: teamdudziak@gmail.com
                                                      January 26-27, 2013
                                                                                                  Mail Payments to: Dudziak's Gymnastics
                                                $100 deposit to save your place                           Attn: Roxanne Deshaies
                                          REGISTRATION DEADLINE : December 3, 2012                          9 Pomerleau Street
                                                                                                            Biddeford, ME 04005

             Please e-mail estimated number of gymnasts per level ASAP to teamdudziak@gmail.com
                   This entire file (two worksheet tabs) must be completed and emailed back to teamdudziak@gmail.com
 CLUB:                                                  USAG member#:                                   Club Phone:
 Street:                                                Club Fax #:                                      Club Email:
  City:                                                 Contact:                                          Zip Code:

State, Zip                                              Contact Phone:
             Competitors Name                USAG #        Level         Birthdate (mm/dd/yyyy)    US Citizen          Use as Sectional
   (1)
   (2)
   (3)
   (4)
   (5)
   (6)
   (7)
   (8)
   (9)
  (10)
  (11)
  (12)
  (13)
  (14)
  (15)
  (16)
  (17)
  (18)
  (19)
  (20)

  (21)
       Competitors Name   USAG #   Level   Birthdate (mm/dd/yyyy)
(22)
(23)
(24)
(25)
(26)
(27)
(28)
(29)
(30)
(31)
(32)
(33)
(34)
(35)
(36)
(37)
(38)
(39)
(40)
(41)
(42)
(43)
(44)
(45)
(46)
(47)
(48)
(49)
                                                  The Frostbite Invite
                                                      January 26-27, 2013

                                          Additional Rows may be added for Coaches if needed

               Coaches Name                       USAG #          Safety Certification Expires
  (1)
  (2)
  (3)
  (4)
  (5)




          GYMNAST SUMMARY                    # of Gymnasts      Entry and Team Fees      Balance Due
    USAG Optional Level 7-10 Gymnasts                            $56 each competitor        $0.00
   USAG Compulsory Level 3-6 Gymnasts                            $51 each competitor        $0.00
              Xcel Gymnasts                                      $51 each competitor        $0.00
USAG 3-9 & Xcel Team Fees (each Level w/ 3+)                        $25 each team           $0.00
                                   Total Amount Made Payable to "Dudziak's Gymnastics" =    $0.00
        Gymnasts using as Sectional                                  $10 per athlete             $0.00
                                           Total Amount Made Payable to "USAG-ME" =              $0.00

                  Mail Payments to:                                  Mail Sanction Fees to:
                Dudziak's Gymnastics                                   Donna Landau
                                                                      Donna Landau
                Attn: Roxanne Deshaies                                29 Chickadee Ln.
                9 Pomerleau Street                                    Kennebunk, ME 04043
                Biddeford, ME 04005

				
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