Step 1 of 4
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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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Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
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Mississippi
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Nebraska
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New Hampshire
New Jersey
New Mexico
New York
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North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
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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Freshman
Sophomore
Junior
Senior
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
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
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
Tell us about your family.
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What have you done to overcome obstacles posed by the pandemic of 2020 or what have you done to help another during this challenging time?
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Other than your family, do you have a mentor that supports you and your gymnastics (from school, church, etc.)? Give an example.
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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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Email
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