Northern California Women’s Gymnastics Association

2006-2007 MEMBERSHIP APPLICATION

PLEASE PRINT OR TYPE ALL INFORMATION CLEARLY

 

                                                                                                                                                                                                                                                                        

                                                                                                                                                                                              TODAY’S DATE

 

                                                                                                                                                                                                                                                                        

NAME OF INDIVIDUAL                                                                                                                TITLE

 

                                                                                                                                                                                                                                                                        

CLUB NAME                                                                                                                                  USA GYMNASTICS CLUB NUMBER

 

                                                                                                                                                                                                                                                                        

MAILING ADDRESS (TO BE USED FOR ALL NCWGA MAILINGS AND MEMBERSHIP ROSTER)

 

                                                                                                                                                                                                                                                                        

CITY                                                                                                                                              STATE                              ZIP CODE

 

                                                                                                                                                                                                                                                                        

COUNTY                                                                                                                                       ZONE NUMBER (TO BE ASSIGNED FOR FIRST-TIME MEMBERS)

 

                                                                                                                                                                                                                                                                        

WORK (GYM) PHONE NUMBER                                   HOME PHONE NUMBER                                                   FAX NUMBER

 

                                                                                                                                                                                                                                                                        

E-MAIL ADDRESS                                                                                                                          WEB SITE

 

                                                                                                                                                                                                                                                                        

GYM ADDRESS (IF DIFFERENT)

 

                                                                                                                                                                                                                                                                        

CITY                                                                                                                                              STATE                         ZIP CODE

 

q  FULL VOTING MEMBERSHIP - $100 (Membership good for September 1, 2006-August 31, 2007)

·   $100 IF PAID ON OR BEFORE JULY 31 TO YOUR ASSIGNED ZONE REPRESENTATIVE

·   ADD $5 PER COMPETING GYMNAST.  THE INDIVIDUAL MEMBERSHIP FEES AND A CLUB ROSTER MUST BE SENT TO YOUR ZONE REPRESENTATIVE BEFORE THE GYMNAST(S) BEGIN COMPETITION.

·   ADD $25 AFTER JULY 31 (NOT APPLICABLE FOR FIRST-TIME MEMBERS)

·   FULL VOTING MEMBERS RECEIVE ALL NCWGA MAILINGS AND HAVE FULL VOTING PRIVILEGES FOR ALL NCWGA MATTERS.

 

q  APPRENTICE MEMBERSHIP (NON-VOTING) - $50 (Membership good for September 1, 2006-August 31, 2007)

·   $50 IF PAID ON OR BEFORE JULY 31 TO YOUR ASSIGNED ZONE REPRESENTATIVE 

·   FOR NEW CLUBS WITH TEN COMPETITIVE ATHLETES OR LESS.  APPRENTICE MEMBERS RECEIVE ALL NCWGA MAILINGS.  NO VOTING PRIVILEGES. 

·   APPRENTICE MEMBERSHIPS CAN BE UPGRADED TO FULL VOTING STATUS WITH A $50 PAYMENT WITHIN THE SAME FISCAL YEAR, PLUS $5 PER COMPETING GYMNAST.

 

q  ASSOCIATE MEMBERSHIP (NON-VOTING) - $30 (Membership good for September 1, 2006-August 31, 2007)

·   $30 IF PAID ON OR BEFORE JULY 31 TO YOUR ASSIGNED ZONE REPRESENTATIVE. 

·   ASSOCIATE MEMBERS RECEIVE ALL NCWGA MAILINGS.  NO VOTING PRIVILEGES.

·   ASSOCIATE MEMBERSHIPS CAN BE UPGRADED TO FULL VOTING STATUS WITH A $70 PAYMENT WITHIN THE SAME FISCAL YEAR, PLUS $5 PER COMPETING GYMNAST.

 

CHECK ONE OF THE ABOVE MEMBERSHIPS.  ONLY ONE SET OF MAILINGS WILL BE PROVIDED PER MEMBERSHIP. 

ASSISTANT COACHES, PARENT CLUB MEMBERS, OR OTHER ASSOCIATES ARE ENCOURAGED TO BECOME AN ASSOCIATE MEMBER.

Text Box:   I will abide by the rules in the NOR-CAL Handbook and those adopted by the membership.                                                                                                                                                                                                                                           SIGNATURE OF APPLICANT                                                                                                                          DATE                                                                                                                                                                                                                                                          PRINT NAME                                                                                                                                                  AMOUNT ENCLOSED                MAKE CHECKS PAYABLE TO NOR-CAL.  SEND THIS FORM AND A CLUB ROSTER (FOR COMPETING MEMBERS) TO YOUR ZONE REPRESENTATIVE:  
 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


MEMBERSHIP PACKET 2006

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