Form

Price Set

Gymnastics Rules & Score Book OWNERS
Submit this Survey to receive a FREE Gymnastics Gift!

Gymnast's Name

Ship To:

Street Address

Address 2

City

State

Zip Code

E-Mail

Phone

Survey

Date of Birth

Gym Club

Would you like to receive my Free email Just Gymnastics Newsletter?

		YES
		NO

Which Gymnastics Rules & Score Book do you own (Pink or Blue)?

What Gymnastics Level are you (1-10)?

Check your areas of Gymnastics Interest

		Recreational Gymnastics
		Compulsory Gymnastics
		Optional Gymnastics
		Judging
		Coaching
		Spectator
		Other

Information gathered in this survey will not be sold to or shared with anyone else.