TEXAS MEET ENTRY FORM

MEET NAME:
DATE:
CLUB NAME:		CLUB #:
CLUB ADDRESS:	CITY:	ZIP:
PHONE:	FAX:	E-MAIL:
TEAM NAME:
COACHES NAME:	USAG#:		SAFETY EXP:
COACHES NAME:	USAG#:		SAFETY EXP:
COACHES NAME:	USAG#:		SAFETY EXP:
COACHES NAME:	USAG#:		SAFETY EXP:

First

Last

Level

USAG #

B-Day

Age as of 9/1

Age Group

US Citizen

Shirt Size

# of Gymnasts	X Entry Fee
	Team Fee
	T-Shirts
	Late Fee
	Total Fee Enclosed

I hereby acknowledge all rules and regulations handed down by USA Gymnastics and the State Director. I have read and understand all information pertaining to this meet. This entry form contains all the proper names, ages and USAG numbers and classes of gymnasts.

This form was prepared and filed out by: __________________________________________