2004 Houston National Invitational
Print (legibly) or Type Forms!
Levels 7 – 10 Optional Competition Entry Form

Club Name: _____________________________________________

Club Address: ___________________________________________

City: _________________________State____________Zip_______

Phone: ( ) - _______________ E-mail/Fax: __________________

Coach: ________________________________USAG #___________ Safety Cert. Exp. _______

Coach: ________________________________USAG #___________ Safety Cert. Exp. _______

Coach: ________________________________USAG #___________ Safety Cert. Exp. _______

Gymnast Name USAG # Level Age Group Birthdate
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Form Completed by __________________________ (Please check) Team Comp. Lvl. 7 __, Lvl. 8 __, Lvl. 9 __, Lvl. 10 __