2008 USAG / NYS STATE CHAMPIONSHIP ON LINE ENTRY FORM

USAG CLUB NAME  

Address   

City                                                         State                             Zip                                            E-Mail                                                                     Phone

CHAMPIONSHIP LEVEL                  
All attending Coaches MUST have a VALID USAG PROFESSIONAL MEMBERSHIP CARD DISPLAYED to be allowed to be on the Competition Floor.

Athlete Full Name                                                                          ID Number                        DOB                             Age @ Championship            Qualified @

Entry Fees are do in the SC's possession 72 hours after entry is e-mailed. Deadline is two weeks prior to the State Championship BUT if a State Qualifying Competition is held one week prior to the
State Championship it may be used to qualify to the State Championship. the SC EXPECTS the entries two weeks prior to the State Championship with the understanding those not qualified will be scratched.
State Championship Fees are listed under Entry Fees on our website (FYI: Early Season, Level 7 & 8 $65.00, Level 5 & 6 $55.00, Level 9&10 $70.00, Team Cup $50.00)
Number of Gymnasts _______ X entry fee _______ = __________ total due

FYI:
1. ONLY the gymnasts competing may be on the competitive floor - there are NO exceptions. It is the Coaches RESPONSIBILITY to make sure their competitors are on the competition floor and ANY
other athletes are in the BLEACHERS. I cannot make this any clearer.
2. NO COACHES CHILDREN are ALLOWED on the COMPETITION FLOOR.

GRADUATING SENOR: Any USAG/NYS Gymnast graduating from High School receives our State's Senor Plaque. It is the Coaches responsibility to get your athlete's information to:
Larry Goldsmith, USAG/NYS Regional Age Group Chair - lgoldniag@aol.com