VITALY SCHERBO INVITATIONAL

PRE REGISTRATION FORM

 

CLUB NAME: __________________________________

 

ADDRESS: ____________________________________

 

_____________________________________________

 

_____________________________________________

 

CONTACT: ____________________________________

 

EMAIL: _______________________________________

 

PHONE: ______________________________________

 

CLUB USAG # _________________________________

 

COACH: ______________________________________

 

USAG # ____________ SAFETY EXP. _______________

 

COACH: ______________________________________

 

USAG # ____________ SAFETY EXP. _______________

 

MEN:  L4 ____ L5 ____ L6 ____ L7 ____ L8 ____

L9 ____ L10 ____ ELITE* ____ 

MEN’S TEAMS _______

 

WOMEN:  L4 ____ L5 ____ L6 ____ L7 ____ L8 ____

 L9 ____ L10 ____ ELITE* ____

WOMEN’S TEAMS ______

*Please note that Elite Status is only for International Competitiors. 

All US Elite competitors must be 18 or younger and will compete level 10.*

 

Mail this Pre-Registration with $100 deposit

by October 20th to:

 

Vitaly Scherbo School of Gymnastics

attn: Vitaly Scherbo Invitational

3250 N. Bronco Street

Las Vegas, NV 89108, USA

 

Make all Checks payable to: VSSG

Deposits are Non-Refundable     

Contact Vitaly Scherbo or Felicia Boudreau at:

(702) 259-5020 for all US calls or

1 (702) 487-2398 all international calls

www.vssg.net