The Branson Agency

For more information on:
classes,
gymnastics or climbing wall birthday parties,
or Vertical Reality,
Lycoming County's first indoor climbing wall,
please click on the page links
or call (570) 326-2868.

Dynamats Gymnastics Center is located at
1310 Commerce Park Drive, Williamsport, PA 17701

REGISTRATION FOR THE CLIMB HIGH GYMNASTICS INVITATIONAL

Club Name: Gym Phone:

Address: Gym Fax:

Club USAG # Club USAIGC#

1. HEAD COACH: USAG #

USAIGC#SAFETY CERT EXP DATE

2. ASST. COACH: USAG #

USAIGC#SAFETY CERT EXP DATE

3. ASST. COACH: USAG #

USAIGC#SAFETY CERT EXP DATE

4. ASST. COACH: USAG #

USAIGC#SAFETY CERT EXP DATE

COMPETITOR NAME	USAG#	USAIGC#	LEVEL	AGE	DOB	T-SHIRT SIZE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16

$55 - USAG Level 4-6 on Saturday
$60 - USAG Prep Opt, Level 7-10 on Saturday
$45 - USAIGC All Levels on Sunday

Gymnast(s) Entered at $55.00

Gymnast(s) Entered at $60.00 each

Gymnast(s) Entered at $45.00 each

Team(s) Entered at $35.00 each

TOTAL AMOUNT DUE

Make checks payable to:
Dynaparents
1310 Commerce Park Drive
Williamsport, PA 17701
Fax (570)326-3072
dynaparents@epix.net

ENTRIES SHOULD BE REGISTERED BY MARCH 7, 2009

PLEASE MAKE SURE YOUR EMAIL ADDRESS OR FAX NUMBER IS LISTED ON THE ENTRY FORMS SO THAT A ROSTER AND SESSION SCHEDULE CAN BE SENT TO YOU PRIOR TO THE MEET

A representative from Dynamats will contact you in regards to your online registration. Thank you.

For more information on: classes, gymnastics or climbing wall birthday parties, or Vertical Reality, Lycoming County's first indoor climbing wall, please click on the page links or call (570) 326-2868.

Dynamats Gymnastics Center is located at 1310 Commerce Park Drive, Williamsport, PA 17701

For more information on:
classes,
gymnastics or climbing wall birthday parties,
or Vertical Reality,
Lycoming County's first indoor climbing wall,
please click on the page links
or call (570) 326-2868.

Dynamats Gymnastics Center is located at
1310 Commerce Park Drive, Williamsport, PA 17701