IMPORTANT!! The Club Certification and Parental Authorization MUST be signed or your entry will be returned !! Club Certification I hereby approve the entry of the above named entrant and certify that to the best of my knowledge: 1. He / She is a member in good standing of the home club listed. 2. He / She is eligible to enter the specified events. 3. He / She is an eligible person as defined by the rules of the USFSA. 4. He / She (if under 18 years of age) is complying with standard education policy. _______________________________________________________ _________________ Signature and title of club official Date Assumption of Risk and Waiver of Liability I have read and agree to abide by the rules of this competition. I am aware that ice skating is a dangerous sport and at the competitor's sole risk and I agree to hold harmless the USFSA, Santa Rosa Figure Skating Club, Redwood Empire Ice Arena, directors, officers, agents and employees from any and all loss, damage, and / or injury, whatsoever kind or nature, that may be sustained by the entrant in any manner while participating in any event of this competition. |
| Entry Fees | | | | | ||||
| For first singles event: Freestyle, Short Program, Artistic, Moves in the Field, Spins, Jumps | | | $60 | ______ | ||||
| For each additional event: | | | $25 | ______ | ||||
| Basic Moves & Free Skating: (Linus, Lucy, & Snoopy) | | | $40 | ______ | ||||
| Make checks payable to: | | | TOTAL | ______ | ||||
| "Santa Rosa Figure Skating Club" | | | | | ||||
| ($50 charge for returned checks) | | | | | ||||
| Mail To: Carol Wyckoff, SRFSC | Entries must be postmarked by midnight, | |||||||
| 1667 West Steele Lane, Santa Rosa, CA 95403 | June 30th, 2000. NO ENTRIES WILL BE ACCEPTED AFTER THIS DATE. | |||||||
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