all star registration pastatecheer

ALL-STAR REGISTRATION

Gym Name

Head Coach Address

Head Coach Name

Head Coach Cell Number

Head Coach Email Address

Please List Additional Coaches

For Each Level Selected, Please List the Divison and Number of Athletes On The Mat

Total Number of Athletes Registered

Payment is due by November 9th to secure your spot!

Checks should be in the amount of total registered athletes at

$40 per athlete.

Exhibition performance is $10 per athlete.

Please make checks payable and return to:

PSCC / Debbie McQuillen

949 Julia Drive

Johnstown, Pennsylvania 15905

Thanks for submitting your registration! We are so excited to have you! Please be on the lookout for your welcome note & invoice!