2000 Santa Rosa's Winter Classic Synchronized Team Skating Entry Form
(Please Type Or Print Legibly)

TEAM NAME:

TEAM REGISTRATION #:

TEAM DIVISION:

 TEAM AFFILIATION: USFSA ISI (Circle One)

Club/Rink:

Coach's Name:

Contact Person:

Address:





Address:





Phone #:

Phone #:


TEAM DIVISION ENTERED:
__ Preliminary __ Adult __ Youth Introductory
__ Juvenile __ Masters __ Teen Introductory
__ Intermediate __ Collegiate __ Adult Introductory
__ Novice __ Gummie Bears __ Collegiate Introductory
__ Junior Classic __ Peppermint Twists __ Synchronized Fours
Preliminary Moves
__ Junior __ Synchronized Fours
Juvenile Moves
__ Senior __ Synchronized Fours
Intermediate Moves

Is Your Team Entered In Another Division? ( ) YES ( ) NO

If YES, What Division__________________________ Name Of Team_______________________________________


Music Duration - Short Program ______________ Free Skating ________________
(Timing of music from first note to last-not actual skating time).

Our team is interested in Practice Ice if it becomes available, please contact ______________________________________

at ( ) __________ - __________ to schedule our practice ice.

Entry Fees are $75.00 per team (or $100.00 per team for Junior or Senior events) plus $10.00 per team member (Including Alternates).
Exceptions: The entry fee for Gummie Bears, Peppermint Twists, and Synchronized Fours is $15.00 only per team member
(Including Alternates).

A $30.00 fee will be charged for all returned checks not honored by the bank.

Please make checks payable to Santa Rosa FSC marked "Synchronized Skating".

Please Mail this Team Entry Form, Team Roster (Include Alternates), Assumption Of Risk and Waiver Of Liability Form and appropriate Entry Fees by December 8, 2025 TO:
Maureen Feldman, Competition Chair/Registrar
3751 Lakebriar Place
Santa Rosa, California, 95403 (707) 545-4497 (Before 9:00 P.M.)

For Santa Rosa FSC Use Only: Date Received: ________ Paid By Check/Money Order #: _______ Total Amount: $ _______

Go to Winter Classic Application RULES AND GENERAL INFORMATION.
Go to MAP TO ARENA AND LODGING.
This is Winter Classic TEAM ENTRY FORM - submit (1) per team.
Go to Winter Classic TEAM SKATING ROSTER - submit (1) per team.
Go to Winter Classic CERTIFICATE OF CLUB OFFICIAL AND WAIVER - submit (1) per skater.

Go to Winter Classic Main Page.

Go to Competitions Index
Return to Santa Rosa Figure Skating Club Home Page