GAGE Dance Clinic with Tiffany Davenport (Coach Registration)
THIS CLINIC WILL BE LIMITED TO THE FIRST 50 ATHLETES!

Tiffany Davenport (Assistant Coach at GAGE) will be presenting Armine Barutyan-Fong's dance curriculum.

Please use this form to register for the "GAGE Dance Clinic with Tiffany Davenport" on Saturday, June 30th from 9:00 am - 4:00 pm at Midwest Twisters - Hartland. Cost is $50 per coach & $50 per athlete. Each coach may bring 3 athletes... maximum of 6 athletes per club. ONE FREE coach for every 3 athletes registered. Please be sure to follow Safe Sport travel guidelines.

Coaches and athletes need to bring a bag lunch as there may not be time to leave the facility for lunch.

Please send payments to:

USA Gym Wisconsin
Attn: Randy Anderson
5711 77th Street
Kenosha, WI 53142

Payment must be received by the date of the clinic.

Please contact justin@midwesttwisters.com with any questions.

(If you are registering multiple coaches... please fill out this form for each coach.)

Email address *
Club Name *
Your answer
Coach First Name *
Your answer
Coach Last Name *
Your answer
I will have the following number of athletes with me and agree to the following fee... *
All participants MUST have a current USA Gymnastics membership. This includes both the coaches and the athletes. Please follow Safe Sport travel guidelines.
I understand that payment is due whether the coach/athlete(s) attend or not. *
Required
I understand that all coaches and athletes must also register using the USA Gymnastics meet reservation system. The name of the clinic is "GAGE Dance Clinic with Tiffany Davenport". *
Required
A copy of your responses will be emailed to the address you provided.
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