NCAA Release of Information - Men - USA Gymnastics Forms

Athlete Information

USA Gymnastics Member Number*

First Name*

Last Name*

Birth Date*

Year in School*

Region*

Division*

Level*

Street Address*

City*

State*

Zip Code*

Home Phone*

Athlete's Cell

Athlete's Email Address*

Relationship to Athlete*

Parent/Guardian First Name*

Parent/Guardian Last Name*

Parent/Guardian Phone*

Parent/Guardian Email*

Club Name*

Club Street Address*

Club City*

Club State*

Club Zip Code*

Club Phone*

Coach First Name*

Coach Last Name*

Coach's Email*

Coach's Cell

PLEASE READ THE FOLLOWING STATEMENT*

By checking this box, you are giving USA Gymnastics and the JO Nationals Local Organizing Committee permission to release your son’s contact information included on this form to NCAA gymnastics coaches for recruiting purposes only.

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