2010 Caribbean Classic Gymnastics Meet
February 27 – 28, 2010
USA Registration Form
Team ____________________________________________________________ Club number __________________________
Street Address ________________________________________________ City _____________________________________
State __________ Zip ________ E-Mail _____________________________________________________________________
Day Phone _____________________ Evening Phone _______________________ Fax ____________________________
COACH _________________________________USAG # ______________ Safety Cert. Exp ____ T-Shirt Size _____
COACH _________________________________USAG # ______________ Safety Cert. Exp ____ T-Shirt Size _____
Copy as needed. Please list by age group – one level per page. Please Print Clearly
Age determination dates: Determined by State meet.
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Gymnast Name |
Level |
Birthday |
Age |
Age Group |
USA# |
US Citizen Y/N |
T-Shirt Size |
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Number of Gymnasts: USA 2-6 _______ x $55 = ____________
USA 7-10, PREP _______ x $65 = ____________
Team Fees: Per Team $35 = ____________
Payable to SEGA Booster Club: Total Fee = ____________
Mail entry form and check to: Southern Elite Gymnastics Academy
c/o Eleanor Joubert
DEADLINE: 325 Henderson Parkway
Must be postmarked by Alpharetta, Georgia 30004
February 1, 2010 For further details visit us at www.segagymnastics.com or
www.leaguelineup.com/segaboosterclub
For questions please contact Robyn Mitchell at (404) 518-3093, Angela Hunte at (404) 808-3451
or SEGA at (770) 777-0199 866-552-8803 Fax number