1996 PACIFIC COAST PRECISION CHAMPIONSHIPS

FORMS CHECKLIST

Form A-G________ Combined Sectional/National Forms

Part A: Team Entry Form
Part B: Team List
Part C: Certification by Athlete & Parent
Part D: Medical Release
Part E: Medical Information
Part F: Entry Fee Sheet Payment enclosed $__________
Part G: National Qualifying Commitment

Form H:_________ Practice Ice Payment enclosed $__________

Form I:__________ Program Ads Payment enclosed $__________

Form J:_________ Shuttle Bus Payment enclosed $__________

Form K:_________ Souvenirs Payment enclosed $__________

Form L: ________ Competitors' Parties Payment enclosed $__________

Team Photo _________

Total enclosed $___________

Make checks payable to: 1996 Pacific Coast Precision Championships

Please use this form to check all enclosures. All forms, including this check list and payments must be received by January 9, 1996. Mail all forms to Jean Fahmie, 636 Adams St., Albany CA 94706. (510) 527-6206

Name of person who filled out the forms: __________________________________

Address: ___________________________________________________________

City State Zip: _______________________________________________________

Day Phone: _________________________________________________________

Evening Phone: ______________________________________________________