SINGAPORE GYMNASTICS

COMPETITION REPRESENTATION FORM 2014

GYMNAST (Or attach a list of names with Athlete

ATHLETE MEMBERSHIP NUMBER
Membership Numbers)
FULL NAME (PLEASE UNDERLINE FAMILY NAME):

DISCIPLINES: Please circle

WAG MAG RG TRA

COMPETITION

COMPETITION: Please tick National Championships 2014 Singapore Open 2014

NAME OF SCHOOL/CLUB
REPRESENTED
COACH IN CHARGE/ TEAM MANAGER:

I bear full responsibility for the gymnast(s) named above/attached throughout the SG event. I commit to the
Coachs Code of Ethical Practice, and agree to abide by the rules and regulations stipulated in the directives
by the Singapore Gymnastics organizing committee.

NAME OF
COACH IN CHARGE/
TEAM MANAGER:

CONTACT TELEPHONE:

E-MAIL ADDRESS:

SIGNATURE

SCHOOL/ CLUB ACKNOWLEDGMENT & ENDORSEMENT FOR COMPETITION REPRESENTATION

I hereby acknowledge that the gymnast named above will compete and represent the following school/club at
Singapore Gymnastics competitions in 2014 and endorse this representation at the competitions indicated in
the Competition field above:

___________________________________ __________________________
Club/ School Stamp Date