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Personal Information
USA Gymnastics Member Number
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First Name
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Last Name
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Street Address
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City
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State
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AL
AK
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AR
CA
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DE
DC
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ID
IL
IN
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ME
MD
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UT
VT
VA
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Zip Code
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Email
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Phone
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Club Information
Club Name
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Club Phone Number
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Coach Name
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Coach Email
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School Information
Grade
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Fr
So
Jr
Sr
School Name
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School City
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School State
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Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
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Indiana
Iowa
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Michigan
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Ohio
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Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
School Phone Number
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Tell Us About You
What is your favorite class and why?
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If you could name one person who has made an impact in your life, who would that be and why?
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Do you or have you volunteered your time? If so, describe where and what you do or have done to give back to the community.
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If you could make a change to anything – i.e., gymnastics, community, school, the U.S. or in the world, what would that be?
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At this time, what do you think you would like to do after high school and college?
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Comments
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