For USAIGC Local & Invitational Competitions

COMPETITION INFORMATION      USAIGC Sanction #  _____________

Host Club ______________________________________________________

State _________________ Competition ______________________________

TEAM ENTRY INFORMATION    Club Membership # ________________

Club Name _____________________________________________________

Address _______________________________________________________

City ___________________________ State _________ Zip ____________

Phone __________________________E-Mail ________________________

Coach(s) Attending ______________________________________________

Name of Competition _____________________________________________

Full Name                               Level       IGC #     DOB      Age    Events     AA

1. Entry Form must be completely filled out
2. Duplicate Form as necessary
3. Mail entry form & fees to the USAIGC Host Club prior to deadline date (2 weeks prior to the competition). Late Fee at the discretion of the Meet Director / Host Club
4. No Refunds after Scratch Date

Coach / Club Owner Signature _____________________________________

Number of All-Around Athletes ____________________________________

Number of Individual Events being performed _________________________

Check Number ____________ Amount _______________________________