YORKSHIRE GYMNASTICS ASSOCIATION (WTC Entry Form)

Post To :   Jodie Maw 22 Bracken Way, Harworth, Doncaster DN11 8SB          01302 759753

Or Email    elmfieldgymnastics@hotmail.com                                  Mobile :     07707 118301

COMPETITION :  LEVEL   7  /   6  TEAM CHAMPIONSHIPS

Club :

 

Contact Name :__________________________

 

Phone :

Mob :

Address if not Secretary :

Email Address of a Club Representative (for important messages) :

PLEASE CIRCLE  Competition  Age Group  and Coaches Level

Provide ALL information – incomplete entries may be returned and then may be late when re-submitting. Entries may be emailed but monies must arrive before deadline.

 

LEVEL (….….) TEAM      Circle      (7/8/9)          (10/11)        ( 12+)

Gymnast (full name)

        D.O.B

1

        /        /

2

        /        /

3

        /        /

4

        /        /

5

        /        /

6

        /        /

Names of Coaches (Max 2 per Team)

WA Qualification

 

Club / Adv Club / HPC

 

Club / Adv Club / HPC

LEVEL (…….) TEAM      Circle      (7/8/9)          (10/11)        ( 12+)                    D.O.B

1

        /        /

2

        /        /

3

        /        /

4

        /        /

5

        /        /

6

        /        /

Names of Coaches (Max 2 per Team)

WA Qualification

 

Club / Adv Club / HPC

 

Club / Adv Club / HPC

 

No  Teams……….….

4 Piece   @   £50          per    Team

2 Piece   @   £25          per    Team

 

  £ …………

Please make cheques payable to Yorkshire Womens Tech - Competition Account

Nominated Judge/s – Ensure that the person is available to judge the competition before naming

Name

Contact Tel

Club / Reg / Nat / Int

Name

Contact Tel

Club / Reg / Nat / Int

Please asterisk box if receipt required

 

Entries returned 4 wks before competition