2005 Houston National Invitational
Print (legibly) or Type Forms!
Houston Team Cup Competition Sample Entry Form
(Competes Friday evening, March 11)



Club Name: __Houston Gymnastics Club________________________

Club Address: _5601 S. Braeswood_____________________________

City: ___Houston________________State____TX______Zip_77096__

Phone: ( 713 ) – 729-3200_______ E-mail/Fax: bepperson@jcchouston.org.__

Coach: _Brad Epperson____________ _____USAG #_407436____ Safety Cert. Exp. 11/04 __

Coach: ________________________________USAG #___________ Safety Cert. Exp. _______

Coach: ________________________________USAG #___________ Safety Cert. Exp. _______

 

Gymnast Name

USAG #

Level

Competing Events

Team A SAMPLE



(Circle which one(s))

1. Brenda Bird

9999999

10

AA
VT
BR
BM
FX

2. Suzie Snake

9999999

8

AA
VT
BR
BM
FX

3. Courtney Cat

9999999

8

AA
VT
BR
BM
FX

4. Rachel Rat

9999999

7

AA
VT
BR
BM
FX

5. Teri Tiger

9999999

7

AA
VT
BR
BM
FX
6. Megan Merkat 9999999 5
AA
VT
BR
BM
FX

Team B SAMPLE

 

 

 

1. Annie Anteater

9999999

9

AA
VT
BR
BM
FX

2. Madison Mouse

9999999

9

AA
VT
BR
BM
FX

3. Hannah Hamster

9999999

6

AA
VT
BR
BM
FX

4. Debbie Dog

9999999

6

AA
VT
BR
BM
FX
5. Renee Rabbit 9999999 6
AA
VT
BR
BM
FX

6. Lisa Lizard

9999999

5

AA
VT
BR
BM
FX

 

 

 

Remember: Up to 6 gymnasts per team, 4 gymnasts compete each event, 3 scores count.

Form Completed by ____________________________________