Manhattan Classic 2010

March 5-7, 2010

Registration Form-----Deadline for Entry: December 15, 2009

www.manhattanclassic.com

Meet Director: Tina Ferriola Email: Phone: 212-334-3628 Fax: 212-334-1179

NYC Elite Gymnastics c/o Manhattan Classic Registration 100 Avenue of the Americas NY, NY 10013

Team Name ______Club USAG# ______

Address ______City/ST/Zip ______

Phone ______Fax ______Email ______

Coach 1______Coach 2 ______

USAG # and Exp ______UASG # and Exp ______

Safety Cert Exp ______Safety Cert Exp ______

PLEASE PRINT LEGIBLY * Women’s Levels 4, 5, 6, 7, 8, 9, 10/Open

Competitor Name / Level* / Birthdate
mo/day/yr / USAG or USAIGC # / Leo
Size
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15

***** All fees MUST accompany registration form---Mail to address at top of page *****

USAG USAIGC

Women’s Compulsory Entries x $90.00 = ______Women’s Bronze x $90.00 = ______

Women’s Optional Entries x $100.00 = ______Women’s Silver-Premier x $100.00 = ______

Number of Teams x $50.00 = ______Number of Teams x $50.00 = ______

Total Entry Fees = ______Total Entry Fees = ______