OFFICIAL TEXAS USA GYMNASTICS MEET ENTRY FORM
PLEASE TYPE INFORMATION ON FORM!

Meet Name:
  Meet Level:  
Date:
   USAG Club #:  
Club Name:
   Texas Club #:  
Club Address:
   Phone:  
City:
   Email/Fax:  
Zip Code:
    Safety cert. exp. date
Coaches Name:
  USAG #:  
Coaches Name:
  USAG #:  
Coaches Name:
  USAG #:  

Name
USAG#
Level
Birthdate
Age Group
US Citizen
1.          
Y / N
2.          
Y / N
3.          
Y / N
4.          
Y / N
5.          
Y / N
6.          
Y / N
7.          
Y / N
8.          
Y / N
9.          
Y / N
10.          
Y / N
11.          
Y / N
12.          
Y / N
13.          
Y / N
14.          
Y / N
15.          
Y / N

Meet Director's Use
Date Received  
Check Number  
Amount  
Short / Over  
_______
Gymnast    X    $55   Entry Fee  = 
 
_______
Small Team Entries @ $30 each =
 
_______
Large Team Entries @ $30 each =
 
_______
Late Fee ($10.00 per gymnast) =
 
_______
TOTAL ENCLOSED:
 
         

I acknowledge that I am familiar with the USAG Rules & Policies and with the Texas USAG directives for each level. I have read and understand all information pertaining to this meet. I understand that this form must be typed written and that I am responsible for the correct names, age groups, birthdates USAG numbers, and levels of the gymnasts. I know that myself, and all coaches on the floor, must have pro #'s & safety cert. and that cards WILL BE REQUIRED at all meets for this season.

Name:____________________________________         Signature:_______________________________________

Club / Contact E-mail Address:_____________________________________________________________