1998 OKTOBERDANCEFEST COMPETITION
Sanctioned By The United States Figure Skating Association
Sponsored By The Santa Rosa Figure Skating Club

SUNDAY, OCTOBER 18, 2025
(Deadline To Enter - September 8, 2026)



OKTOBERDANCEFEST CERTIFICATE/CONSENT/LIABILITY FORMS
(Certificate Of Club Official/Consent Of Parent Or Legal Guardian/Assumption Of Risk And Waiver Of Liability)


CERTIFICATE OF CLUB OFFICIAL

I hereby approve the entry of the registrant and certify that he or she:
1. Is a member of the Club in good standing.
2. To the best of my knowledge is eligible to enter the specific event(s).
3. Is an amateur in accordance with the rules of The United States Figure Skating Association; and4. Is following a standard and complete education program in full compliance with the requirements of the registrant's home state.

NAME OF CLUB OFFICER: (Please Type Or Print Legibly) ___________________________________________

CLUB OFFICER SIGNATURE___________________________________________ DATED_________________

TITLE OF OFFICE_____________________________HOME CLUB OR CITY_____________________________



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ONE FORM REQUIRED FOR EACH SKATER

CONSENT OF PARENT OR LEGAL GUARDIAN


I am the parent or legal guardian of ________________________________________________
I understand that my child/ward will be participating in the 1998 OKTOBERDANCEFEST COMPETITION at the Redwood Empire Ice Arena. I understand that the proposed activity can be a dangerous sport, and that the Arena's officers, management, owners and employees and all members or staff of The United States Figure Skating Association and/or The Santa Rosa Figure Skating Club assume NO responsibility for accidents or injuries to participants or spectators, or loss of property, occurring before, duing or after the activity.

I accept full responsibility for ensuring that my child/ward is adequately supervised and controlled while on The Redwood Empire Ice Arena property, and accept responsibility for accidents or injuries to myself, and my child/ward, and for property damage, arising as a result of said activity. I hereby waive all rights to assert or levy any and all claims, losses, liabilities, costs and/or liens against the corporations known as "Redwood Empire Ice Arena, Inc.", and/or "Redwood Empire Ice Operations, Inc.", and the organizations known as "The United States Figure Skating Association" and /or "The Santa Rosa Figure Skating Club" and these corporations' and organizations' officers, management, agents, officials and staff from and against any and all claims, losses, liabilities, costs and/or liens for accidents or injuries to my child/ward, or any other person, or property damage caused by or arising out of his/her participation in the above activity, and occurring before, during or after the activity.

If I am not able to personally supervise and control the activities of my child/ward while on the Redwood Empire Ice Arena property, I agree to provide all necessary medical consents, medical information and emergency numbers to persons of suitable age and discretion who have agreed to supervise and control my child/ward.
I have signed the foregoing form in my individual capacity, and on behalf of my child/ward, and his/her heirs, executors and/or administrators.

SIGNATURE_______________________________________________DATED____________________

PRINT NAME____________________________________________CAPACITY_______________________



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SKATERS AGE 18, AND OVER, PLEASE USE THIS FORM

ASSUMPTION OF RISK AND WAIVER OF LIABILITY
(For Adults, 18 Years And Over)

Ice skating can be a dangerous and injurious sport. All skaters and spectators assume their own risk of injury. The Arena's officers and management, owners and employees, The United States Figure Skating Association, the competition officials and members of The Santa Rosa Figure Skating Club assume NO responsibility for accidents or injuries to participants and spectators, or loss of property, occurring before, during, or after these competitive programs. Each participant is responsible for accidents or injuries to the participants and to others as a result of the participant�s activities.

Skaters and skating parents must understand and accept the full risk and financial responsibility of participation in this competition and waiver all rights to assert or levy any and all claims, losses, liabilities, costs and/or liens against the corporations known as "Redwood Empire Ice Arena, Inc.", and/or "Redwood Empire Ice Operations, Inc.", and the organizations known as "The United States Figure Skating Association" and/or "The Santa Rosa Figure Skating Club". Furthermore, the skater must waive the rights of their heirs, executors and/or administrators of their estate to assert or levy any and all claims, losses, liabilities, costs and/or liens against the aforementioned corporations and organizations, officers, management, agents, officials and staff from and against any and all claims, lossess, liabilities, costs and/or liens for accidents or injuries to themselves or any other person, or property caused by or arising out of their participation in this competition.

SIGNATURE_______________________________________DATED_______________

PRINT NAME__________________________________________________________














------------------ end of consent/liability form ----------------------------




1998 OKTOBERDANCEFEST COMPETITION
Sanctioned By The United States Figure Skating Association
Sponsored By The Santa Rosa Figure Skating Club

1998 OKTOBERDANCEFEST COMPETITION ENTRY APPLICATION FORM
(Duplicate As Required) - (Please Type Or Print Legibly)

SUNDAY, OCTOBER 18, 2025
(Deadline To Enter: September 8th - No Late Entries Accepted Past Postmarked Date Of 9/11/98)


Name:____________________________________USFSA#:____________________

Address:____________________________________________________________

City:_______________________________ State:________ Zip Code:_____________

Phone #: (    )________ - ________ Birthdate:______________ Age:______ Male (   ) Female (   )

Home Club:__________________Highest Dance Test(s) Level Passed:________________

Name Of Coach:____________________________________ Phone #: (    )_______ - _______

Coach's Address:_______________________________________________________

City:___________________________State:_____________Zip Code:_____________


ENTRY FEES - $27.00 PER PERSON FOR THE 1ST EVENT & $20.00 PER PERSON FOR EACH ADDITIONAL EVENT

DANCE EVENTS ENTERED
SOLO DANCES: COUPLE EVENTS:   
Canasta Tango  _____  Cha Cha _____  Partner's Name/Phone#_______________________
Cha Cha  _____  Ten-Fox _____  Partner's Name/Phone#_______________________
Rocker Foxtrot  _____  Foxtrot _____  Partner's Name/Phone#_______________________
Silver Tango  _____  Silver Tango _____  Partner's Name/Phone#_______________________
Blues  _____  Paso Doble _____  Partner's Name/Phone#_______________________
Kilian  _____  Blues _____  Partner's Name/Phone#_______________________
Viennese Waltz  _____  Quickstep _____  Partner's Name/Phone#_______________________
Hickory Hoedown  _____  Silver Samba _____  Partner's Name/Phone#_______________________
Fourteenstep  _____       

FREE DANCE/RHYTHM ON ICE DANCES:
Couple Free Dance _____ Program Time: _____ Partner's Name/Phone#__________________________
Rhythm On Ice #1 _____  
Rhythm On Ice #2 _____  
Solo Free Dance _____  
PRO/AM DANCES:
PRO/AM Fiesta Tango _____  Partner's Name/Phone#__________________________________
PRO/AM Fourteenstep _____  Partner's Name/Phone#__________________________________
PRO/AM Viennese Waltz _____  Partner's Name/Phone#__________________________________
PRO/AM Free Dance _____  Partner's Name/Phone#__________________________________
SHADOW DANCES:
Shadow Cha Cha _____ Partner's Name/Phone#__________________________________
Shadow Hickory Hoedown _____ Partner's Name/Phone#__________________________________
Shadow Rocker Foxtrot _____ Partner's Name/Phone#__________________________________
Shadow Westminster Waltz _____ Partner's Name/Phone#__________________________________


TOTAL AMOUNT ENCLOSED: $___________ TOTAL # OF EVENTS ENTERED: _________
(A $30.00 fee will be charged for all returned checks)

Please make checks and/or money orders Payable To: "Santa Rosa FSC" marked "Oktoberdancefest"
MAIL COMPLETED ENTRY APPLICATION FORM/SIGNED ASSUMPTION OF RISK FORM TO:
      Mrs. Laura O'Dell, Competition Chair/Registrar
      c/o SRFSC, 1667 West Steele Lane, Santa Rosa, CA 95403
     (707) 546-7147 ext. 867 (leave message)

* Please include a Self-Addressed Stamped Envelope for a copy of the Oktoberdancefest Competition Tentative Time Schedule * (To be mailed out after 10/1/98)

For Santa Rosa FSC Use Only:

Date Received:_________ Paid By Check/Money Order #:________ Total Amount: $__________

webpage updated 98/10/15 kh

This is the 1998 OktoberDancefest Application.

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