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KMC Boy's Invitational
-
2011/2012 Season
Saturday, Feb. 4, 2011
Entry Deadline is December 17, 2011
Team Name
__________________________________
Phone
______________________
Address
__________________________________
__________________________________
Club USAG#
___________
Contact Person
_______________________________
Email
_______________________
Coach Name
________
_______________________
USAG #
___________
Safety Cert. Exp.
___________
Coach Name
________
_______________________
USAG #
___________
Safety Cert. Exp.
___________
Coach Name
________
_______________________
USAG #
___________
Safety Cert. Exp.
___________
Gymnast Name
USAG #
Level
Birth Date
Age Competing at
T-Shirt Size
Fees:
Gymnast - $75.00
Team Entry - $60.00
(Team Awards for levels 4, 5, and 6 only)
Total # of Gymnasts
__________
@ $75/per
___________
Total # of Team Entries
___________
@ $60/per
___________
Total Fee:
___________
make check payable to KMC Boys Team
Mail to:
KMC Boys Team
912 W. Cypress Street
Kennett Square, PA 19348