Artistic Sports Academy Plus (ASAP) Cornucopia Classic 2009
Entry/Registration Form
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Phone: |
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Address:
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Email Address: |
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Contact Person: |
Coaches
Information
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Name |
USAG # |
Safety Certified Exp. Date |
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Gymnast
Information
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Gymnast |
Level |
USAG # |
Age |
DOB |
T-shirt Size |
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#
of Entries |
X $65.00
(early bird special $55.00) |
= Total |
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T-Shirt
Order Tally
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CM |
CL |
AS |
AM |
X
10.00 |
=
Total |
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Make Checks Payable To: ASAP-GBC
Send Information to ASAP -Cornucopia Classic
20 Bradford Blvd
Harrisburg, PA 17112
Phone (717) 540-3547
Fax (717) 657-3432
