Please complete this survey no later than Wednesday, March 22nd at ...
Congratulations on qualifying for the 2017 NCGA DIII Gymnastics Championships! Please complete the following form in its entirety. This form will require you to input information on the teams traveling party, hotel room reservations, banquet and dinner ticket orders and apparel orders. Please complete this survey no later than Wednesday, March 22nd at 1:00pm EST / 12:00pm CST. After completing the forms you will receive invoices for each of the charges. Cash or check only. Please make checks payable to: UW-Stout Athletics. This will be your official registration for the NCGA Championship competitions. Team registration: $480 All-Around registration: $80 per athlete Specialist registration: $20 per event, not to exceed $60 per athlete Head Coach's e-mail: Head Coach's cell phone:
School Name: Head Coach's name: Team Competition: Friday, March 31 School name:
Region:
All-Around Athletes: Friday, March 31 Athlete #1 Athlete #2 Athlete #3
Individual Competition: Saturday, April 1 Please enter the events that each athlete has qualified for after their name. Event #1
Event #2
Event #3
Event #4
Athlete #1
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Athlete #2
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Athlete #3
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Athlete #4
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Athlete #5
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Athlete #6
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Athlete #7
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Athlete #8
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Athlete #9
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Athlete #10
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Rooming List/Travel Party This will be your desired rooming list at the Best Western Plus. This will also serve as your official travel party document. Once team room reservations are finalized, teams will be notified of room assignments and the total costs due at the time of check-in. Best Western Plus Address: 320 Oak Ave, Menomonie, WI 54751 School name: Date and time of arrival: Date and time of departure: Please provide list of names per room assignments (up to 4 people per room): Position Name Room 1 Room 2 Room 3 Room 4 Room 5 Room 6 Room 7 Room 8 Room 9 Room 10
Name
Name
Name
(athlete, coach, etc.)
March-In-Order This will be the march-in order used for the team competition on Friday night. If you only have AllAround or individual athletes who have qualified, please still fill this form out so that we have pronunciations on all athletes and coaches. School name: March-In order: Name Athlete #1 Athlete #2 Athlete #3 Athlete #4 Athlete #5 Athlete #6 Athlete #7 Athlete #8 Athlete #9 Athlete #10 Athlete #11 Athlete #12 Athlete #13 Athlete #14 Athlete #15 Athlete #16 Athlete #17 Athlete #18 Athlete #19 Athlete #20 Athlete #21 Athlete #22 Athlete #23 Athlete #24 Athlete #25 Head Coach Assistant Coach Assistant Coach Assistant Coach
Year
Captain
(*) Phonetic Pronunciation
The banquet will be held on Thursday, March 30th at the UW-Stout Memorial Student Center - Great Hall. Banquet tickets are $30/person and attendees must pre-purchase banquet tickets when they register for the championships. Attire is formal and a team social activity will begin at the conclusion of the banquet.
Thursday Banquet Ticket Order Form
School Name: Total number of tickets needed: Total number of vegetarian meal(s) needed:
Please note any food allergies and details:
Friday Pasta Dinner Ticket Order Form The pasta dinner will take place on Friday, March 31st in the UW-Stout Memorial Student Center - Great Hall immediately following competition. Participants are encouraged to join us on Friday, March 31st following the conclusion of the competition for a pasta dinner. You are welcome to invite guests (family and friends). Please reserve and pay for all team and guest tickets on this team order form. Cost: $12 per person. School name: Total # of tickets needed:
Please note any food allergies and details:
School Name: Head Coach's name: Team Competition: Friday, March 31 School name:
Region:
All-Around Athletes: Friday, March 31 Athlete #1 Athlete #2 Athlete #3
Individual Competition: Saturday, April 1 Please enter the events that each athlete has qualified for after their name. Event #1
Event #2
Event #3
Event #4
Athlete #1
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Athlete #2
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Athlete #3
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Athlete #4
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Athlete #5
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Athlete #6
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Athlete #7
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Athlete #8
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Athlete #9
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Athlete #10
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Rooming List/Travel Party This will be your desired rooming list at the Best Western Plus. This will also serve as your official travel party document. Once team room reservations are finalized, teams will be notified of room assignments and the total costs due at the time of check-in. Best Western Plus Address: 320 Oak Ave, Menomonie, WI 54751 School name: Date and time of arrival: Date and time of departure: Please provide list of names per room assignments (up to 4 people per room): Position Name Room 1 Room 2 Room 3 Room 4 Room 5 Room 6 Room 7 Room 8 Room 9 Room 10
Name
Name
Name
(athlete, coach, etc.)
March-In-Order This will be the march-in order used for the team competition on Friday night. If you only have AllAround or individual athletes who have qualified, please still fill this form out so that we have pronunciations on all athletes and coaches. School name: March-In order: Name Athlete #1 Athlete #2 Athlete #3 Athlete #4 Athlete #5 Athlete #6 Athlete #7 Athlete #8 Athlete #9 Athlete #10 Athlete #11 Athlete #12 Athlete #13 Athlete #14 Athlete #15 Athlete #16 Athlete #17 Athlete #18 Athlete #19 Athlete #20 Athlete #21 Athlete #22 Athlete #23 Athlete #24 Athlete #25 Head Coach Assistant Coach Assistant Coach Assistant Coach
Year
Captain
(*) Phonetic Pronunciation
The banquet will be held on Thursday, March 30th at the UW-Stout Memorial Student Center - Great Hall. Banquet tickets are $30/person and attendees must pre-purchase banquet tickets when they register for the championships. Attire is formal and a team social activity will begin at the conclusion of the banquet.
Thursday Banquet Ticket Order Form
School Name: Total number of tickets needed: Total number of vegetarian meal(s) needed:
Please note any food allergies and details:
Friday Pasta Dinner Ticket Order Form The pasta dinner will take place on Friday, March 31st in the UW-Stout Memorial Student Center - Great Hall immediately following competition. Participants are encouraged to join us on Friday, March 31st following the conclusion of the competition for a pasta dinner. You are welcome to invite guests (family and friends). Please reserve and pay for all team and guest tickets on this team order form. Cost: $12 per person. School name: Total # of tickets needed:
Please note any food allergies and details:
