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Michigan State Gymnastics Questionnaire

Complete Questionnaire, then submit form.

PERSONAL INFORMATION (Fillable form)

Name (First)
(Middle)
(Last)

Address

City
State
ZIP
Home Phone
Cell Phone
Email Address
Birthdate
Screen Name
Father's Name
Occupation
Mother's Name
Occupation
Living With? (Check One) Mother Mother Both Other
Brothers/Sisters (Age, Name)
Who will help you make your college choice
 
ATHLETIC INFORMATION
Level
9 Regional 9 National 10 Regional 10 National Elite
Club Name
Club Coach
Address
City
State
Zip
Club Phone
Club Email
Vault   Body Position   Twist  

Other
Bar Release  
Dismount  
Other
Beam Flight  
Dismount  
Other
 
Floor
1st Pass
2nd Pass
3rd Pass
4th Pass
 
Michigan State Gymnastics Questionnaire
Injury
Injury
Injury
Injury
Injury
 
High School
Counselor
Graduation Date
SAT
ACT
Core GPA
HS Phone
Intended Major
Other