February 26-28, 2010
Gym Name___________________________________________________
Address_____________________________________________________
City____________________________State__________Zip____________
Phone ( )_____________________Fax ( ) __________________
Club #_______________________ Email___________________________
Contact person _________________________________________________
Coach_______________________USAG #___________Safety Exp.________
Coach_______________________USAG #___________Safety Exp.________
Coach_______________________USAG #___________Safety Exp.________
Coach_______________________USAG #___________Safety Exp.________
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Gymnast |
USAG # |
Level |
Date of Birth |
Age |
1 |
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2 |
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3 |
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4 |
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5 |
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6 |
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7 |
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8 |
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9 |
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10 |
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11 |
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12 |
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Qty |
Rate. |
Total |
Girls Unsactioned Levels 1-3 |
$55 |
$ |
|
Girls USAG Levels 3-4 |
|
$60 |
$ |
USAG Girls Levels 5-6/ Prep/ USAG Boys Levels 4-10 |
|
$75 |
$ |
USAG Girls Levels 7-10/Open |
|
$85 |
$ |
All Team entries |
|
$50 |
$ |
Team photo for program |
|
$10 |
$ |
TOTAL ENCLOSED |
$ |
||
Mail entry to:
Empire Gymnastics Academy
Attn: Jazz Invite Entry
4925-G Jefferson Hwy
New Orleans, Louisiana 70121
504-734-0644 gym
504-734-0117 fax
[email protected]
[email protected]
For detailed scheduling and entry information, or if you have any questions, please contact Marcie Boudreaux at: [email protected] or (225) 202-0873
Copy form as needed. Please use separate forms for boys, sanctioned girls, and non-sanctioned girls. Indicate non-US citizens. Please print legibly. One check payable to Empire Gymnastics Academy.
Location
Reily Center
Tulane University
New Orleans, Louisiana 70118
Meet Directors
Lisa Grillot
4925-G Jefferson Hwy
New Orleans, Louisiana 70121
504-734-0644 gym
504-734-0117 fax
[email protected]
[email protected]
Marcie Boudreaux
37376 Cornerview Road
Geismar, LA 70734
225-202-0873 cell
504-734-0117 fax
[email protected]
Host
Empire Gymnastics Academy
4925–G Jefferson Hwy.
New Orleans, LA 70121
(504) 734-0644
[email protected]
www.empiregymnastics.net
www.jazzinvite.com
Format
Entry Deadline
Postmarked by December 15, 2009
Refund Policy
No refunds will be given after January 15, 2010
Late Fees
$10 per gymnast/ $10 per team after December 16, 2009
Host Hotels
See our website for up to date information on official Jazz Invitational host hotels, pricing, and location.
Program Ads
Your half-page team photo will appear in our program for just $10. Returning teams may submit a team photo free of charge! Email photo to Empire Gymnastics Academy at [email protected] subject: Jazz Invitational team photo. If your booster club or team parents would like to purchase a “Good Luck” ad, pricing is available on our website. Please submit all photos or artwork in pdf format or you will be charged a $5 setup fee.
Concessions and Merchandise
Food and beverages, meet t-shirts, programs, and other merchandise will be available for purchase.
Details and extensive information at
www.jazzinvite.com