5th Annual "Gymnastics in Paradise" Registration Form

$100.00 non-refundable deposit due: Oct. 30th, 2007 - Final payment due: Dec. 15th, 2007

Meet Fees: if paid by December 15th 2007    -    (After December 15th)

Levels 4 thru 6:           $55.00                -                  ($65.00)
Levels 7 - Open:         $95.00                -               ($105.00)
Team Competition   $100.00 - (Due by October 30th 2007)

Payments: Make checks payable to "Hawaiian Island Twisters"
Please fill in this form online, print it out, and mail along with your payment to:

Hawaiian Island Twisters
1151 Mapunapuna St. Rm D3
Honolulu, HI 96819

Name of your Club
Your USAG Club Number
Mailing Address
City
State/Province
Zip/Postal Code
Gym Phone/Fax Number
Email Address
Name of Contact Person

FEES:
# of gymnasts
Level
Cost per gymnast
Total
Levels 4 thru 6  x $55.00 each    =
Levels 7 thru Open  x $95.00 each    =
    Total Due             =
    (Less Deposit)
    Balance Due       =

Refunds: Full refund for individulals if requested by December 15th, 2007