SRFSC CRYSTALLINE 99 Application
REDWOOD EMPIRE CRYSTALLINE CLASSIC
A SHOWCASE COMPETITION
SANCTIONED BY THE USFSA

REDWOOD EMPIRE ICE ARENA
1667 W. STEELE LANE / SANTA ROSA,CA 95403
707-546-7147 EXT.867

MARCH 26, 27, 28,1999

NAME:_____________________________________BIRTHDATE:______________AGE:______

ADDRESS:________________________________________________M:________F:_______

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PHONE NO.(_____)______________HOMECLUB:______________________USFSA#_________

PROFESSIONAL:_______________________________PHONE NO.(_____)_________________

HIGHEST TEST PASSED / FREESTYLE:_______________________________________________

MOST DIFFICULT JUMP IN YOUR PROGRAM:___________________________________________

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