BREVET/ELITE UPDATE

NAME _____________________________ RATING ____________ DATE ________________

ADDRESS___________________________CITY_____________STATE _____ ZIP _________

ELITE COMPULSORY TESTING / OPTIONAL CLINIC:

SITE______________________________REGION__________DATES____________________

LENGTH OF CLINIC__________________FORMAT OF CLINIC_________________________

NAME OF CLINICIAN(S)________________________________________________________

SIGNATURE OF RTC or CLINIC DIRECTOR_________________________________________

ELITE TRAINING CAMP:

SITE_________________________________REGION__________DATES_________________

LENGTH OF CLINIC__________________FORMAT OF CLINIC_________________________

NAME OF CLINICIAN(S)________________________________________________________

SIGNATURE OF RTC or CLINIC DIRECTOR_________________________________________

INTERNATIONAL ASSIGNMENT:

NAME OF MEET_______________________________LOCATION______________________

DATE__________________________TYPE OF COMPETITION_________________________

OTHER: Other experience may include practice judging at a regional elite meet or pre-elite meet, practice judging and attending clinics in conjunction with national elite meet, attending regional and national judging symposiums with specific compulsory testing clinic lecture and/or practice judging is provided, judging compulsory testing exercises and providing compulsory testing clinics for gymnasts in conjunction with invitational meets. Please give date(s), if practice judging - location and judges worked with, number of gymnasts judged, length of time spent on which compulsory testing events, who the coach or clinician was (if in gym experience).
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RETURN TO:
MARIAN DYKES, RTC,
4651 Buford Highway
Atlanta, Georgia 30341
770-451-6910; FAX 770-457-0943