Rocktober Challenge Entry Form

Club Name*
Club USAG#*
Club Phone:*
Club Contact Person:*
Contact E-mail:*
Contact Phone:*
Club Address:*

Athlete/Team Reservation

Click the checkbox for each level you will have athletes competing in.

Enter the total number of athletes competing in that level.

Then click on the checkboxes to tell us which levels will be competing in the team competition.

USAG Entries

Upload a roster in any of the following formats:  doc, docx, xls, xlsx, and pdf.  Whatever format you choose, your roster must contain the following info:  athlete name, USAG #, birthday, level, t-shirt size, coaches name, & coaches USAG #.

Upload Roster:*
Indicate how you would like to pay for your entry.  After you submit your form you will receive an invoice by email.  For your convenience, you may pay online by check/routing # or credit card.  If you opt to pay by credit card, a 2.5% surcharge.  Your entry will be considered official once payment is made, not when your information is received.
Payment Method:*