Athlete Information

* NOTE: Athletes 18 years of age and older must complete the Abuse Prevention Certification to be eligible to be on the floor of a NGA sanctioned event.

First Name *
Preferred first name to be used at gymnastics competitions
Middle Name
Last Name *
Date of Birth *
Gender *
Street or POB
City *
State *
Zip *
Country *
Parent/Legal Guardian Information
Name *
Email 1 *
Email 2
Address (If different from Gymnast)
Street or POB
Other Info
Gymnast's Primary Medical Insurance Carrier
Gymnastic Discipline
Competitive Level *
T-Shirt Size *
Club Information
Club Name *
Club Address
Payment Information $35 Application Fee

*Fees are not prorated. Fees are non-refundable and non-transferable

Billing Info
Card Holder Name *
Card Holder Billing Address *
Email Address *
City *
State *
Zip *
Phone *
Card Details
Card No *
Expiry Date *
(Format -mm/yyyy, ie: 01/2021)
Signature *
Athlete Membership Agreement

  • I (name) as the club owner/administrator have the completed Athlete Registration Form and Waiver for this gymnast signed by their parent and/or legal guardian and are in our possession in a safe and easily accessible place in the case of injury or audit.
Signature Date