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Trampoline & Tumbling Region 3 Championships May 17 th – 19 th Fort Worth Convention Center 1

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Trampoline & Tumbling Region 3 ChampionshipsMay 17th – 19th

Fort Worth Convention CenterFort Worth, Texas

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USA Gymnastics Trampoline & TumblingWWW.USAG-region3.org

Jr. & Sr. Elite Region 3 Championships, Jr. Olympic Region 3 ChampionshipsRegion 3 All Star Team Selection

The Force Trampoline & TumblingFort Worth, Texas

DATE Level 8-Elite Training, Lv 8 – Sr Competition & Sync May 17th Levels 1 – 9 Competition May 18th Levels 1 – 7 Competition May 19th

VENUE: Fort Worth Convention Center1201 Houston StreetFort Worth, Texas 76102Commerce Street parking garage $10 per day cash only (No in and out privileges)Houston Street parking garage. Hourly rate 0-30 min $2, 30 min.-1 hr $4, 1 hr-1.5 hr $6, 1/5-6 hrs $10 6 - 12 hrs $12 Parking on the street is FREE

HOST: USA Gymnastics Region 3 Trampoline & Tumbling

HOTEL INFO: Book within our block early to assure you and your team have a room! Region 3 has blocked rooms at two local hotels. All the hotels listed below are giving a special rate for USAG participants and families. These hotels have also committed to donate per room night to the Regional Scholarship fund.

ALL HOTELS WILL REQUIRE A NON-REFUNDABLE FIRST NIGHT PREPAID AT THE TIME OF RESERVATIONS.

The Headquarter Hotel is located across the street from the convention center:Sheraton Fort Worth1701 Commerce StreetFort Worth, TX 76102(817) 335-7000(800) 325-3535Ask for the USA Gymnastics blockRate-$120 Double/Double or King Rate includes, Discounted breakfast in Shula’s $11 per person or Grab & Go $7 (ordered in advanced)Complimentary WiFiSpa Beaubelle, Complimentary fitness center, Yoga Center, Pilates studioShula’s 347 RestaurantComplimentary full service Business Center and ConciergeComplimentary shuttle within 5 milesParking: $12 self-parking behind hotel (special rate for USAG participants), $18 ValetBlock will close April 16, 2013

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RADISSON FORT WORTH FOSSIL CREEK (5 minutes from the venue)2540 Meacham BoulevardFort Worth, TX 76106(817) 625-9911Ask for Region 3 Trampoline & Tumbling Championships block for special rate.Rate-$99 Double/Double includes FREE breakfast for 1-4 people per room per dayFree parkingIndoor Pool and Jacuzzi, 24 hr workout centerFREE high speed wireless Internet in rooms and meeting spaceCassidy’s Night club and Main Street Café`Block will close on April 16, 2013

If you encounter problems making reservations prior to cut off date or if they tell you the USAG block is full prior to the deadline, please e-mail me and I will contact the hotel to make sure that the block is indeed full. My e-mail address is [email protected]

AIRPORT It is recommended to use the following for transportation to the host hotelsTRANSPORT Super Shuttle (800) 258-3826

Yellow Checker Shuttle (214) 841-1900 Yellow Cab (214) 426-6262

SCHEDULE: Friday morning we will provide level 8-Elite training. The block schedule will be used for all events and will indicate exactly what block of time your athletes will compete. A detailed block schedule will be posted for all participating gyms no later than April 23, 2013. Levels 8 - Elite, competition will begin on Friday. Competition for levels 1-9 will also be on Saturday. Levels 1-7 will continue on Sunday.

FUNDS: Entry fees must be in the form of a money order or certified check. NO PERSONAL OR GYM CHECKS WILL BE ACCEPTED

PAYABLE TO: USA Gymnastics Region 3 (NO PERSONAL OR GYM CHECKS)

MAIL TO: USA Gymnastics Trampoline & Tumbling Region 3C/O of Patti Conner7401 TopekaLubbock Texas, 79424Questions call: (806) 771-2519Please include copy of online entry form, USAG team roster along with USAG professional membership verification for all coaches, and money order or certified check.

PURPOSE: The Sr. Elite and Jr. Elite competitions will name Regional Champions in all disciplines. This competition will prepare our athletes for competition at national and international events. The Jr. Olympic Regional Championships (Levels 1-10) will name Regional Champions in age groups for all disciplines (synchronized trampoline, Level 9 & 10). This will also serve as the second and final opportunity to qualify for the National Championships that will be held in Kansas City, KS. We will also name the levels 9 and 10 Regional All Star Team that will represent our region at the regional face off at the National Championships in Kansas City.

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ENTRY INFO: Levels 1-Sr. Elite (per competitor)First Event $75.00Each additional event $15.00All entries must be done on line. Go to www.usag-region3.org for specific instructions and to enter. In order to keep our website secure you must request a link for the entry form. It may take up to 48 hrs to receive your link so please request early.

ENTRY Postmarked or in the regional office by April 3, 2013DEADLINE: This will insure your team is included in the program.

Entries received after the deadline will be doubled. NO Exceptions.Entries will not be processed without payment, therefore, phone and fax entries will not be accepted. ABSOLUTELY NO entries the week prior to the competition.

ENTRIES: Only entries submitted online will be accepted. Go to usag-region3.org for specific instructions on how to register your team and athletes on the official website. READ INSTRUCTION CAREFULLY BEFORE REGISTERING IN ORDER TO AVOID PROBLEMS. A request must be made for the link to the registration form

INCOMPLETEOR INCORRECT After April 3, 2013 information may be changed or corrected for a ENTRIES: charge of $10 per correction. If an age or gender is listed incorrectly there will be

$10 per event charge.

ELIGIBLE All athletes registered with USA Gymnastics as an athlete member are ATHLETES’ eligible to compete at the Regional Championships. Please note that all non-U.S. citizens

must declare their citizenship prior to competition.

RULES: USAG Trampoline and Tumbling rules from the current 2013 Code of Points along with all errata pages (posted on USAG website) will be used. Please note that there will be no finals for levels 1 – 10. All age groups are based on the age of the competitor on December 31, 2013.

COACHES: Only coaches who have a minimum of a level one coaching certification and current USAG Pro or Jr. Pro membership will be issued credentials. Note: Please read the dress code in the code of points. This dress code for coaches and judges will be strictly enforced. Teams will be allowed one coach for every 5 athletes registered with no more than 3 coaches per team. (5 or less athletes 1 coach, 6 to 10 athletes 2 coaches 11 or more 3 coaches). The level one coaches course will be held on Friday evening in order to accommodate those without current certification.

COMPETITION 4 – 4 X 4 Eurotramp trampolines with Eurotramp beds and springsEQUIPMENT: 2 - Eurotramp Double-mini trampolines

2 – Ross Athletics Rod Tumbling floorsEquipment managed and additional equipment supplied by Ross Athletics.

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VOLUNTEERS: We need your help with volunteers for this competition. We greatly appreciate all your help. This meet would not be possible without the help of volunteers. Thank you in advance for your assistance. All volunteers will be given a hand stamp that will allow them access into the competition for that day. All teams will be assigned a time to provided one spotter. You must provide a spotter or pay a $50 fee in order to hire a spotter for that session.

ATHLETE BIOS: Each team who has Jr. & Sr. Elite competitors will need to fill out the athlete bio form on the region 3 website and attach a current head shot photograph. We are working on getting some much-needed press for our sport and this event. We would like to provide some information about each athlete in a press packet, so that they can promote this event with the press in Fort Worth.

JUDGES: Only judges who have met yearly certification requirements and have a current USAG Pro or Jr Pro membership, and are currently registered with the USAG Trampoline and Tumbling Judges organization will be used to seat panels. Ratings and availability will determine contracts for the Region 3 championships and Elite Challenge. Judges must have previously judged at a minimum of 3 sanctioned competitions prior to regional championships.Judging questionnaires must be mailed or faxed to Patti Conner by April 3, 2013

HOSPITALITY: This year we will be using the Convention Center for the hospitality room. As a results limited meals will be provided this year. Since they must abide by the health department standards we are not able to leave food out for an extended period of time. A meal schedule will be sent out once the competition schedule is set. Your credential will have a meal voucher included. There will be no snacks or drinks provided between meals, so please be sure you find time to eat during the specified times. We appreciate your understanding and cooperation.

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Coaches Check List

_______ Please read all information carefully.

_______ Fill in gym entry deadline date on Parent information letter prior to copying.

_______ Copy Parent information letter for each athlete Level 1 - Sr. Elite.

_______ Copy regional program ad information for each athlete.

_______ Online entry deadline April 3, 2013. Hard copy postmarked no later than April 3, 2013. (All late entries will be doubled)

_______ Sign up your team parents and coaches for volunteer duty. Each team is required to provide one spotter for assigned session.

_______ Go to Region 3 website and fill out Athlete Bio forms for all Jr. and Sr. competitors.

_______ Copy and hand out judges questionnaire to all certified judges. Deadline for judge’s questionnaire will be April 3, 2013.

_______ Identify all non US citizens when using the online entry system

_______ Send judge’s questionnaires no later than April 3, 2013 to:USA Gymnastics Trampoline & Tumbling Region 3C/O Patti Conner7401 TopekaLubbock, Texas 79424Fax 806-771-2519

_______ Ad information for programs along with certified check or money order, must be postmarked no later than April 3, 2013 Send to:Patti Conner7401 TopekaLubbock, Texas 79424

_______ Contact the host hotels for accommodations. See the attached information for contact numbers and locations.

_______ Each team must include a copy of your USAG Team membership roster from the USAG website to confirm membership for both athletes and coaches.

Questions? Contact your State ChairmanKansas David Domeland (620) 340-0831Louisiana Dmitri Poliaroush (337) 326-0386North Texas Bret Stout (469) 396-7555Oklahoma Eric Miller (314) 435-1921South Texas Tom Brewer (281) 728 9169West Texas Byron Smith (806) 853-7882New Mexico Brenda Wiles (575) 746-6778

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Colorado Terri Mason (719) 229-7539

Memo to All TeamsRE: T & T ALL STAR “Angels”

The 2013 Region 3 Championships in Fort Worth, Texas is just a short time away. Your Trampoline and Tumbling Regional staff is busy planning this great event, and we need your help! To help us make this the best Regional Championship, we’ll need those T & T All Star “Angels” (aka volunteers) helping in many areas.

Please go over the following page with your team parents and fill in the appropriate blanks with names and addresses so the volunteers can be contacted directly. Volunteers must be at least 16 years of age. We need you to return your list along with your entry form, they all must be postmarked by April 3, 2013

You are our only link to the volunteers! We hope you will encourage your team to be a special part of the Regional experience by volunteering at least one day. Positions will be filled on a first-come, first-serve basis, so get your list to the T & T Regional office ASAP. Volunteers who sign up for an entire session will receive a free T-shirt and hand-stamp that will allow them free entry for that day.

Thank you for your help in making Regional Championships 2013 an event that runs smoothly and efficiently. I appreciate all you do to help me make this competition a success.

Sincerely

Patti Conner

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USA Gymnastics Trampoline & Tumbling2013 Region 3 Championships Volunteers

Volunteers are needed in the following areas (please indicate 1st and 2nd choices from this list):Mark below with the corresponding number 1)Computer Data Entry, 2)Awards, 3)Results Poster, 4)Overall Results Wristbands, 5)Door Guard 6) spotterDates Event Times (approximate) Friday, May 17th .................................................Level 8 - Sr. Elite.......................................8:00 am - 9:30 pmSaturday, May 18th .............................................Level 1 – 9…………………………..…. 8:00 am - 10:00 pmSunday, May 19th ...............................................Level 1 - 7..................................................8:00 am - 4:00 pm

Team Name: Please remember all volunteers must be 16 years of age . please print name and email address in capital letters, shows days that your are available, job choices show 1 st and 2nd choice T-shirt sizes come in CL, AS, AM, AL, AXL, AXXL, AXXXL

Volunteers Name Email Address 29 th 30 th 1 st Job Choices #

T-shirt Size

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Parent InformationDear Parents,We are excited about the 2013 Region 3 Championships. We hope that this will truly be one of the most memorable experiences of your child’s tumbling and trampoline career. Here are a few suggestions that may help you have a positive experience as well.

ENTRY Your entry must be returned to your coach no later than:

DEADLINE: _____________________________________

ENTRY FEE: LEVELS 1 – Sr. EliteFirst event $75.00Each additional event $15.00

These fees are considerably more than what you are accustomed to in your area. Please remember that this is a huge event, it will be very similar to a National Championship and it takes the bulk of this entry fee to host a competition of this magnitude. Any overage will be used to benefit the athletes of Region 3 in clinics, regional events, scholarships and International travel etc.

VENUE: Fort Worth Convention Center1201 Houston St.Fort Worth, TX 76102Commerce Street parking garage $10 per visit. Parking on the street FREEHouston Street parking garage hourly rate starting at $2

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SCHEDULE: Level 8-Sr Elite training will be Friday morning. We will use the block schedule for all events during the week. This schedule gives you an exact time for each event your child will be competing in. Feel free to leave the arena between events. Be sure to be back in the arena at least 45 minutes prior to the scheduled time. Due to the massive numbers in some ages groups it may be necessary to schedule some ages on more than one day, this helps to eliminate athletes that might crossover between two events. We want to provide the best competition opportunity for each athlete with no rushing or trying to be in two places at once. A detailed schedule will be sent to your gym no later than April 23, 2013. Some level 8-9 and all level 10 - Sr. Elite competition will be on Friday, and all Levels 1-7 and the remaining level 8 &9’s will compete on Saturday. The remaining level 1-7 competition will likely finish around 3:00 on Sunday, May 19th .

HOTEL INFO: Book within our block early to assure you and your team have a room! Region 3 has blocked rooms at two local hotels. All the hotels listed below are giving a special rate for USAG participants and families. These hotels have also committed to donate per room night to the Regional Scholarship fund.

ALL HOTELS WILL REQUIRE A NON REFUNDABLE FIRST NIGHT, PREPAID AT THE TIME OF RESERVATIONS.

The Headquarter Hotel is located across the street from the convention center:Sheraton Fort Worth1701 Commerce StreetFort Worth, TX 76102(817) 335-7000(800) 325-3535Rate-$120 - Double/Double or King Rate includesDiscounted breakfast in Shula’s restaurant $11 or Grab N Go $7 (order in advance)Complimentary WiFiSpa Beaubelle, Complimentary fitness center, Yoga Center, Pilates studio, andShula’s 347 RestaurantComplimentary full service Business Center and ConciergeComplimentary shuttle within 5 milesParking: $12 self parking behind hotel (special rate for USAG participants), $18 ValetBlock will close April 16, 2013

RADISSON FORT WORTH FOSSIL CREEK (5 minutes from the venue)2540 Meacham BoulevardFort Worth, TX 76106(817) 625-9911Ask for Region 3 Trampoline & Tumbling Championships block for special rate.Rate-$99 Double/Double includes FREE breakfast for 1-4 people per room per dayNewly remodeledFree parkingIndoor Pool and Jacuzzi, 24 hr workout centerFREE high speed wireless Internet in rooms and meeting spaceCassidy’s Night club and Main Street Café`Block will close April 16, 2013

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If you encounter problems making reservations prior to cut off date or if they tell you the USAG block is full prior to the deadline, please e-mail me and I will contact the hotel to make sure that the block is indeed full. My e-mail address is [email protected]

AIRPORT It is recommended to use the following for transportation to the host hotelsTRANSPORT Super Shuttle: (800) BLUE VAN

Yellow Checker Shuttle: (214) 841-1900 Yellow Cab: (214) 426-6262 Special rate.

OFFICAL The official T-shirt along with many other items will be available for saleT-SHIRT: at the Coliseum during the competition.

SCORING: Total Score will do all scoring. The score for each competitor will be flashed on a screen at each equipment station. There will also be final score sheets posted in the lobby at the entrance of the venue. Be sure to pick up a color coded wristband if your child is in the top ten. This will ensure that we recognize your child as an award winner when staging for awards.

PROGRAM: There will be a program available. If you would like to purchase a Good Luck ad for your child or team, please see your head coach today. All teams and athletes entered by the deadline will be listed in the program.

ADMISSION: There will be a gate fee of $10.00 for adults and $5.00 for children, 7 to 17 yr old, 6 & under are free. Athletes in uniform will be admitted for FREE if they present their athlete pass. These may be obtained from their team coach.

VOLUNTEERS: In order to help make this, a quality competition it will take all of us working together. If you would like to volunteer for a single session or all day we would love to have you. Check with your coach and sign up on the volunteer form. All volunteers will receive a hand-stamp for their admission the day they volunteer and a free T-Shirt if you pre-register as a volunteer

AWARDS: Each child will receive a flight award immediately following their flight competition. The top ten in each age group and ability will receive a special award at the end of each session of competition at a special awards ceremony. Check the final results posted at the front of the venue. If your child is in the top ten you will need to see the volunteer near awards for a colored wristband that will indicate to the staging staff that they are a top ten award winner. This will help with the staging process for awards.

See the specific schedule for award ceremony times. The Level 10 Regional All Star Team will be announced after the session on Friday evening. Parents will be allowed on the floor only in designated areas to take pictures at the overall award ceremonies at the end of each session.

SAFETY: For the safety of your child and others participating in the Region 3 Championships, we ask the following: Please do not use flash photography of any kind. Bright lights on video cameras are also prohibited. No one is allowed to sit in the sky boxes or crows nests located at the top of the arena. Please make sure your children are aware of this.

STAGING: The staging area is used to line up flights for competition and pre competition stretching. It is located at the South end of the arena and may ONLY be entered from the Arena floor. In order to make this process run smoothly for the staff we ask that athletes not

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report to this area until their flight times have been called over the PA system or no more than 20 minutes prior to their scheduled time for competition. Door guards will allow only those athletes who are in the flights that have been called to enter the staging area. Athletes who are in this area too early will be asked to leave. We appreciate your cooperation in this matter. If an athlete is missing from a flight we will call their name before the flight is taken to the competition floor. NO FOOD WILL BE ALLOWED IN THE STAGING AREA.

OFF LIMITS: Due to the strict safety standards of USAG only those parents who have volunteered to help will be allowed on the competition floor. All others admitted to the competition floor must be safety certified with USA Gymnastics, and must also wear the official Region 3 Championship credentials. THERE WILL BE NO PARENTS ALLOWED IN THE LINE UP AREA. Each team may designate one USA Gymnastics professional member in the line up area to assist with their team. We ask for your cooperation in this matter. Once your child has reached the regional level they should know what to expect in the line up area and be able to participate in the process without your help. We hope your Regional Championship experience is a great one. If you have any questions that are not addressed, please check with your coach prior to the competition so that there are no surprises. Come and enjoy the fun of watching your child learn and grow from the competition experience.

WEB SITE INFO: Check the official Region 3 web site often for updates. Flights and the detailed schedule will be posted as soon as they are available. There will also be any last minute information posted that will make your experience more pleasant. The web site is your link to the most up to date information. www.usag-region3.org

THINGS TO There is plenty to do in Fort Worth when you are not at the competition venue;SEE & DO:

Fort Worth ZooDowntown – Sundance SquareStockyards National Historic DistrictTexas Cowboy Hall of FameNational Cowgirl Museum and HallBilly Bob’s TexasSix Flags Over Texas

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Judges QuestionnaireRegion 3 Championships

May 17-19, 2013Level 1 to Sr. Elite

Judging panels for the 2013 Region 3 Championships in Ft. Worth TX will be selected from those judges who complete and return this form. If you wish to be considered for a panel, return to Patti Conner on or before April 3, 2013. You will not be asked to judge unless you return this form. A technical representative will extend invitations to judges approximately three weeks prior to the competition.

Name _______________________________________________________ USAG # _____________________

Address __________________________________________________________________________________

City______________________________________State _______________________Zip__________________

Phone _________________ Fax _____________________ Email ____________________________________

Team Affiliation ____________________________________________________________________________

Circle Category: TU 4 3 2 1 FIG TR 4 3 2 1 FIG DM 4 3 2 1 FIG

List location and date of three sanctioned competitions that you have previously served in the judging capacity.

1. ____________________2.____________________3.____________________Please check beside the dates you will be available to judge:

Friday, April 29th Level 8 – Elite_______

Saturday, April 30th Level 1 – 9 _______

Sunday, May 1st Level 1 – 7 _______

If you return this form and later find out you cannot fulfill your responsibility, please notify Billie Willis at [email protected]

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All Questionnaires must be postmarked or faxed no later than April 3, 2013Mail to Patti Conner, 7401 Topeka, Lubbock, TX 79424Fax to Patti Conner, 806-771-2519 (between 8 am and 10 pm)

HOSPITALITY: This year we will be using the Convention Center for the hospitality room. So limited meals will be provided. Since they must abide by the health department standards we are not able to leave food out for an extended period of time. A meal schedule will be sent out once the competition schedule is set. Your credential will have a meal ticket included. There will be no snacks or drinks provided between meals, so please be sure you find time to eat during the specified times. We appreciate your understanding and cooperation

Region 3Championships 2013

Coaches Request formMail this form along with entries

Postmarked no later than April 3, 2013

One coach for each 5 athletes entered. (1 to 5 athletes 1 coach, 6 to 10 athletes 2 coaches, 11 or more athletes 3 coaches)

MUST BE LEVEL ONE CERTIFIED

Team Name ______________________________________________USAG # _______________________

Head Coach ______________________________________________USAG # _______________________

Assistant Coach ___________________________________________USAG # _______________________

Additional Coach __________________________________________USAG # ______________________

Gym Address ___________________________________________________________________________

Gym Phone ____________________________________ Gym Fax ________________________________

E-mail Address __________________________________________________________________________

Hotel where head coach is staying __________________________________________________________

Total number of athletes entered in Region 3 Championships ___________________

You are allowed a maximum of three coaches on the floor. Teams with 5 or fewer athletes will only be allowed 1 coach, 6 to 10 athletes, 2 coaches and 11 or more athletes, 3 coaches.

Thank you in advance for your cooperation in this matter.Credentials can be picked up at the registration desk at the venue.

Coach’s dress code will be strictly enforced.

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Coaches please include a copy of your official USAG Team roster including USAG coach verification from the USAG website.

There will be a Level One Coaches Certification held on Friday evening at the Convention Center. Please see the registration form on the Region 3 website.

USA GYMNASTICS TRAMPOLINE & TUMBLING

ADVERTISING FOR THE 2013 REGIONAL CHAMPIONSHIPS PROGRAM

April 3, 2013 is the deadline to turn in ads for the Regional program. Program ads should be submitted to Patti Conner (See attached address), complete and camera-ready. Information for one-liners must be printed legibly, or typed.

Program ads may be purchased by businesses, USAG T&T teams, parents or other interested individuals. They may include photographs (add $10.00 per photograph), clip art, etc.

TEAMS SHOULD COLLECT MONEY FOR EACH AD. ALL FEES SHOULD BE SENT TO PATTI CONNER ALONG WITH AD INFORMATION. THE PROCEEDS FROM THE PROGRAM WILL HELP SUPPORT REGION 3 AND WILL BE USED TO BETTER OUR ORGANIZATION AND GO TO THE BENEFIT OF OUR ATHLETES AT ALL LEVELS.

Camera-ready* ad prices are as follows:

INSIDE COVER (1st come, 1st served)..........................................100.00FULL PAGE.......................................................................................75.00HALF PAGE.........................................................................................6.00FOURTH PAGE.................................................................................50.00EIGHTH PAGE...................................................................................25.00ONE-LINERS (Up to 12 words)...........................................................7.50

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Each additional word……………………………………………………..1.00Businesses should understand that purchasing an ad is considered advertising expense, not a contribution. If businesses wish to donate money, contributions must be made to a non-profit (501 C-3) organization such as USAG T&T Region 3 or a booster club.

*For an ad to be considered camera-ready:1. It must FIT INSIDE the box of the size paid for. (See attached page)2. It must not require re-typing or any touch-up work.3. Clip-art must be affixed to the ad. 4. Photographs should be labeled, put in an envelope and attached to the ad. A

$10.00 charge applies to all photographs. All ads not camera ready will be returned.

Advertise in the 2013 Regional Championships ProgramAdvertising Prices and SizingInside Cover (7.5 X 10”) $150.00 ¼ Page (3.6 X 4.85”) $50.00Full Page (7.5 X 10.0”) 100.00 1/8 Page (3.6 X 2.3”) 25.00Half Page (7.5 X 4.85”) 75.00 One-Liner 7.50

Pictures $10.00

BENEFITS 100 TEAMS AND ASSOCIATES WILL RECEIVE THE PROGRAM. OVER 350 COACHES, JUDGES & OFFICIALS WILL RECEIVE THE PROGRAM. OVER 1000 ATHLETES

OVER 4000 SPECTATORS ARE EXPECTED AT THE REGIONAL CHAMPIONSHIPS. VERY REASONABLE COST TO THE ADVERTISER. PROCEEDS TOWARDS ATHLETE SCHLORSHIPS

- - - - - - - - - - - - - - - - PROGRAM AD INFORMATION - Due to Patti Conner April 3, 2013 - - - - - - - - - - - -

ADVERTISER

CONTACT NAME DAYTIME PHONE

Type of ad (please circle)

Full page Half page Quarter page Eighth page One-liner

# of words _______

Print or type one-liner on the following lines:

USA Gymnastics reserves the right to refuse any ad deemed inappropriate.

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For Office Use only

Date Rec __________________ Amt Rec ________________ Camera Ready __________

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SUMMARYPlease use this form to account for the money you are sending for program advertising.

TEAM NAME: E-MAIL:

CONTACT PERSON: PHONE:

ADD:

________ # ADS @ $100.00 $_________________________________

________ # ADS @ $75.00 __________________________________

________ # ADS @ $65.00 __________________________________

________ # ADS @ $50.00 __________________________________

________ # ADS @ $25.00 __________________________________

________ # ONE LINER ADS @ $7.50 __________________________________

________ # ONE LINER EXTRA WORDS @ $1.00 __________________________________

________ # OF PHOTOGRAPHS FEE @ $10.00 __________________________________

TOTAL AD PRICES $_________________________________

MAIL TEAM CHECK, MONEY ORDERS OR CERTIFIED CHECKS TO PATTI CONNER ON OR BEFORE April 3, 2013ALL CHECKS SHOULD BE MADE PAYABLE TO USA GYMNASTICS REGION 3.

Mail ads, this form and checks to :Patti Conner7401TopekaLubbock, Tx 79424

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HalfPage

¼Page 1/8

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