SAN DIEGO ICE ARENA
ISI OPEN CHAMPIONSHIPS
MAY 24th, 2015
ISI # 1-2475-2014
SYNCHRONIZED SKATING AND PRODUCTION #
ENTRY FORM
Name of Team _______________________________ Rink __________________ Phone # ____________
# Of Skaters ___________ @ $20.00 each
=
$_______________
(Make check payable to San Diego Ice Arena)
Mail to: San Diego Ice Arena, 11048 Ice Skate Place, San Diego Ca. 92126 Att: Kerrie Armijo
PLEASE CHECK THE APPRORIATE BOX:
Production # ( )
Synchronized Formation ( )
Synchronized Skating ( )
Advanced Formation Team ( ) Open Skating Team ( )
AGE CATEGORY FOR SYNCHRONIZED SKATING TEAMS
Tot Team (maj. 6ys. and under) ( )
Youth Team (maj. 9-11 yrs) ( )
Teen Team (maj. 14-19 yrs) ( )
Collegiate Team (maj. 18-25yrs) ( )
Jr. Youth Team (maj. 8 ys. and under) ( )
Sr. Youth Team (maj. 12-14 yrs) ( )
Adult Team (maj. 20 yrs. and over) ( )
Synchronized Skaters ---- Please list your age as of 7/01/14
Are you an active USFS member who has competed at or above the Novice level (individual or
synchronized) at any USFS National Championship with the last 2 years? Yes ____ No ____
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Coach’s Signature ____________________ Coach’s Email ____________________ Entry Deadline *** April 25th, 2015