2003 Houston National Invitational

Print (legibly) or Type Forms!

Levels 7 – 10 Optional Competition Entry Form

Club Name: _____________________________________________

Club Address: ___________________________________________

City: _________________________State____________Zip_______

Phone: ( ) - _______________ E-mail/Fax: __________________

Coach: ________________________________USAG #___________ Safety Cert. Exp. _______

Form Completed by ____________________________________. Copy sheet for more entries.

2003 Houston National Invitational

Print (legibly) or Type Forms!

Levels 4 – 6 Compulsory Competition Entry Form

Club Name: _____________________________________________

Club Address: ___________________________________________

City: _________________________State____________Zip_______

Phone: ( ) - _______________ E-mail/Fax: __________________

Coach: ________________________________USAG #___________ Safety Cert. Exp. _______

Form Completed by ____________________________________. Copy sheet for more entries.

2003 Houston National Invitational

Entry Summary

Level 4-6 # of Entries X $55 = $_____

Subtotal = $_________

Special Discount:

If paying before January 13, 2003, deduct $5/athlete = < $_________>

Late Fee:

If paying after February 7, 2003, add $5/athlete = $_________

Total = $_________