Cranberry Application

Mail this entry form and all fees on or before July 23th, 2007 to:

CAROLYN PIERCE, 45 NORRIS ST, HYANNIS, MA 02601

 

Make checks payable to YARMOUTH ICE CLUB

OFFICIAL USE ONLY:

Date Rec.___________________

Date Rec. _________________

Amt._______ #of events_______

Events:_____________________

PP  sp_______  fs____________

Title

First Name

Middle Initial

 

Last Name

Date of Birth

 

Address

Age

Sex

FemaleMale

City

State

Zip

Telephone

E-mail

USFSA #

 

Highest Test Passed (as of July 23)

Free Skating

Moves

Pairs

Dance
Home Club
Professionals Name

PAIRS ONLY - Each Partner must fill out a separate entry form
Pairs Partner's Name
FREE SKATE –$85.00  1ST EVENT JUVENILE THRU SENIOR - SHORT PROGRAM - $50.00 UNLESS 1ST EVENT
$70.00 – 1ST EVENT BEGINNER THRU PRE-JUVENILE, ADULTS and SHOWCASE 

$45.00 - COMPULSORY MOVES, JUMP OR SPIN EVENTS AND SHOWCASE (as 2nd event)

Singles Free Skate Compulsory Moves Pairs Free Skate

Beginner

Pre-Preliminary A

Pre-Preliminary B

Preliminary A

Preliminary B

Pre-Juvenile

Juvenile

Open Juvenile

Intermediate

Novice

Junior

Senior

Adult Pre-Bronze

Adult  Silver A

Adult Silver B

Adult Gold

Adult Masters

 

Pre-Preliminary

Preliminary

Pre-Juvenile

Preliminary

Juvenile

Intermediate

Novice

Junior

Senior

Compulsory Spins

Beginner

Pre-Pre/Preliminary

Pre-Juvenile/Juvenile

Intermediate/Novice

Junior/Senior

Compulsory Jumps

Pairs Short Program

Pre-Pre/Preliminary

Pre-Juvenile/Juvenile

Intermediate/Novice

Junior/Senior

Novice

Junior

Senior

Singles Short Program

Showcase

  

Juvenile

Intermediate

Novice

Junior

Senior

Pre-Pre/Preliminary

Pre-Juvenile/Juvenile

Intermediate/Novice

Adult (all levels)

If qualified, I plan to skate in the EXHIBITION OF CHAMPIONS

 

CERTIFICATE OF ELIGIBILITY: I certify that is a member in good standing of (Club Name) and is eligible to skate in the specified events.

CLUB OFFICIALS SIGNATURE:                                                                                                    TITLE                                            DATE

SIGNATURE (Parent or Guardian)

PARENTS – MUST  SIGN – If competitor is under 18 years of age.

IN CASE OF ACCIDENT: USFS RULE 3222 SHALL APPLY