REDWOOD EMPIRE CRYSTALLINE CLASSIC
A SHOWCASE COMPETITION
Sanctioned by the USFSA
Hosted by the Santa Rosa Figure Skating Club

REDWOOD EMPIRE ICE ARENA
1667 WEST STEELE LANE
SANTA ROSA, CA. 95043
707-546-7147 Ext. 867


SPECIAL NEEDS EVENT ENTRY APPLICATION
ONLY

NAME:________________________ BIRHDATE:____________ AGE ___
ADDRESS: ____________________________________ M: ____ F: _____
_____________________________________________________________
PHONE #: ( ) ______________ HOME CLUB: ____________________
USFSA #: ___________________
PROFESSIONAL: ____________________ PHONE #:( )_____________


TELL US ABOUT YOUR PROGRAM:
Length: _____________________
Do you have music?: ___________________
Do you have your Pro on the Ice with you? : __________________


CHECK LIST:
1. Complete Club Certification
2. Complete Assumption of Waiver
3. Enclose Entry Fee

The Entry Fee for this event only is $15.00

ENTRIES MUST BE POSTMARKED BY FEBRUARY 18, 2026