Club Name:
Club Number:
Address:
City:
State:
Zip:
Club Email:
Contact Person:
Phone:
Fax:
Email: *Please include your email address so we can send you confirmation!
Best Estimate of the Number of Gymnasts Attending:
Level 4:
Level 5:
Level 6:
Level 7:
Level 8:
Level 9:
Level 10/Open:
Please Reserve Early - A club check of $100.00 will reserve your entry. Deadline October 15, 2009
Send a copy of this form along with your check to:
Bravo Classic 2009 c/o Cyndi Zimmerman 1167 Milburn Ct Naperville IL, 60540 Email: Gymmom4@aol.com Ph: 630-355-1779 Fax: 630-544-6378
Do not get caught at the end of the wait list!
