Name of Gymnast:

Email Address:

Gymnastics Club:

Name of Music selected:

Competitive Level:

Age:

# of Tumbling Passes:

Are you a righty or a lefty in gymnastics?:
 Righty Lefty

How flexible are you? Please rate on a scale of 1 to 10 (with 10 meaning “Nastia Liukin-like-flexibility"):

Right leg splits: ---12345678910
Left leg splits: ---12345678910
Shoulders: ---12345678910
Straddle splits: ---12345678910
Back: ---12345678910

Have you had any additional dance classes outside of gymnastics? If so, what types of dance?

Are there any areas that might be a weakness for you? Examples include: endurance, power, jumps, hands, bent knees, core weakness, difficulty hearing music, rhythm etc.

Are there any areas that you consider to be strengths for you? Examples include: flexibility, endurance, power, jumps, acro tricks, ballet, etc.

Please list jumps and leaps that you have been working on.

Please enter the following code in the box below: