Fillable Citizen Entry Fee

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Citizen Entry Fee

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USA GYMNASTICS COMPETITION ENTRY FORM
Name of Meet:
Hosted by:
Host Address:
Club: Contact:
Address: Phone:
City: State: Zip Code: Fax:
USAG Club #: Email Address:
Level
USA Gym
Athlete
Number
DOB Age
Citizen
(Y/N)
Entry Fee
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
USAG # Safety Exp Background U100 (Y/N)
1
2
3
4
5
ENTRY
FEE
TOTAL
TEAM
ENTRY
FEE
TOTAL DUE
PER LEVEL
LEVEL 1
x =$ + $
LEVEL 2
x =$ + $
LEVEL 3
x =$ + $
LEVEL 4
x =$ + $
LEVEL 5
x =$ + $
LEVEL 6
x =$ + $
LEVEL 7
x =$ +
$
LEVEL 8
x =$ +
$
LEVEL 9
x =$ +
$
LEVEL 10 x =$ +
$
GRAND TOTALS $
Coach First Name
Last Name
NUMBER OF ATHLETES
PER LEVEL
Last Name
Athlete First Name
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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Citizen Entry Fee

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Completed 11 August 2021

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