FLORIDA GRADUATING HIGH SCHOOL SENIORS
This form is for gymnasts attending the USAG Men’s State Championships who are high school seniors.
FORM IS TO BE COMPLETED & RETURNED to Greg Weller, Florida State Chairman no later than
February 23, 2015!
Send the form by email to Greg Weller, State Chairman at Gwgymnast1@yahoo.com
LEVEL (circle):
8
9
10
NAME: ____________________________________________________________________
CLUB: ____________________________________________________________________
NAME(S) OF COACH: ______________________________________________________
NUMBER OF YEARS COMPETING
NUMBER OF TIMES COMPETED IN A REGIONAL MEET _______________________
NUMBER OF TIMES COMPETED IN A NATIONAL MEET _______________________
COLLEGE ATTENDING
COLLEGE COLORS ________________________________________________________
ARE YOU COMPETING IN COLLEGE?: YES
NO
WILL YOU ATTEND ON SCHOLARSHIP?: YES NO
TYPE OF SCHOLARSHIP:
ATHLETIC
FULL
ACADEMIC
OTHER ___________________
PARTIAL
PROBABLE/POSSIBLE MAJOR OR AREA OF INTEREST
Highlights of Career:
Coach comments (that will be read at State meet)
NAME OF PARENTS:
MOTHER: ____________________________________________
FATHER: _____________________________________________
At the State meet, we will recognize graduating seniors and their parents/coaches using the
information on this form.