CHANGE/CORRECTION FORM

Change form clipart

Use this form to report changes to your address, phone, email, etc. This will allow us to keep our web site as up-to-date as possible. All changes submitted here will be forwarded to Peggy Simpson.

PLEASE NOTE: This is a web site for Georgia only. We cannot change your national or regional information for you. Please be sure to include information such as the name of your gym so we can find where to put your changes!

NOTE: Changes will not be made if you do not fill out the form completely! Gyms must include their USAG number for the GYM. Please Please Please - include the name of your gym!

Name of person submitting this change:

Name (**Inc. Gym**):
Email:
Gym Phone:
USAG Gym #:
(necessary!!!)

Type of change (More than one may be checked):
Name Address Home Phone Gym Phone Email Gym Correction in Web Site Other

I give permission to have this information printed on the Ga USA website:*
 Yes    No

I give permission to have this information printed on the Ga USA address list:*
 Yes    No

Type in your change or correction here. Please be specific and let us know where on the web site this needs to be corrected.

*NOTE: If permission is not given then your gym address and contact information will be placed in our files but will not be made available to the public.