The 1 st Annual Falling Leaf Open Saturday November 4, 2017

The 1 st Annual Falling Leaf Open Saturday November 4, 2017 BASIC SKILLS EVENTS THRU SENI LEVEL & SHOWCASE Kiwanis Ice Arena Saugerties, New York

The 1 st Annual Falling Leaf Open Saturday November 4, 2017 The Falling Leaf Open will be conducted in accordance with the rules and regulations of U.S. Figure Skating, as set forth in the current rulebook, as well as any pertinent updates which have been posted on the U.S. Figure Skating website. This competition is open to all eligible, restricted, reinstated or readmitted persons as defined by the Eligibility Rules, and is a currently registered member of a U.S. Figure Skating member club, a collegiate club or an individual member in accordance with the current rulebook. Please refer to the current rulebook for non-u.s. Citizens. TEST LEVEL: Competition level is the highest test passed as of the entry deadline in the discipline the skater is entering. Entrants may skate one level above that for which they qualify, but they may not skate down in any event. Skaters who placed in the top four in a final round of their last qualifying competition in their divisions must move up one level, except for novice and higher. AGE RESTRICTIONS/REQUIREMENTS: Skaters entering juvenile free skate events (Well Balanced Program) must be under 14 years of age at the close of entries. Skaters entering open juvenile free skate events (Well Balanced Program), must be at least 14 years of age at the close of entries. Skaters entering beginner pre-juvenile events will be divided as closely as possible by age should the number of entries warrant more than one group. ENTRIES: Entries should be done on Entryeeze (link is available at www.skatingclubofsaugerties.com) no later than October 14, 2017. Late entries will be accepted at the discretion of the organizers for an addition fee of $15.00. Entry fees are per person, U.S. dollars: For Basic Skills & Pre-Freeskate Events Only: The first event is $40.00 and an additional event is $15.00 For All Other Events: The first event is $65.00 and each additional event is $25.00 NO refunds after closing date unless event is canceled by The Skating Club of Saugerties. If sending in a paper entry form there will be an addition $15.00 processing fee. PAPER ENTRY FMS MUST BE FILLED OUT COMPLETELY and returned with fee check made payable to The Skating Club of Saugerties. There will be a $30.00 fee for returned checks. If only one skater is entered in an event, that event may be cancelled. The skater will be contacted by the competition chair prior to cancelling the event. A refund will be issued if the event is cancelled. REFUND POLICY: Entry fees will not be refunded after October 14, 2017 unless no competition exists or the event is canceled. There will be no refunds for medical withdrawals. The online processing fees are not refundable. Checks returned for non-sufficient funds and contested credit card charges will be issued a $30.00 fee. Payment of the fee will be required before the skater is allowed to participate in practice ice or events. Notification of competition and practice ice times will be available on www.skatingclubofsaugerties.com FACILITIES: The competition will be held at The Kiwanis Ice Arena 6 Small World Ave Saugerties NY 12477. Rink dimensions are 197 X 85. MUSIC: The official competition music must be turned in at the registration table at the time of check-in. A duplicate CD should be readily available. Music may be picked up at the registration table following each event. Every reasonable care will be taken, but the Skating Club of Saugerties cannot be responsible for CDs left at the end of the competition. Please have separate CDs for practice and competition. LIABILITY: U.S. Figure Skating, The Skating Club of Saugerties and the Kiwanis Ice Arena accept no responsibility for injury or damage sustained by any participant in this competition. This is in accordance with Rule 1600 of the official U.S. Figure Skating Rulebook. JUDGING SYSTEM: The 6.0 Majority Judging System will be used for all events 1 P a g e

REGISTRATION: Registration will be open one hour before the first event and run through the last event of the day. The registration table will be located in the Lobby of the arena. Please register promptly upon arrival. Skaters are requested to arrive 45 minutes prior to the scheduled time of their event. A tentative schedule of events will be posted prior to the competition. PRACTICE ICE: Practice Ice will be available throughout the competition, check the clubs website for registration and updates PHOTOGRAPHY/VIDEOGRAPHY: There will be a professional Photos & Videos available. AWARDS: There will be medals for 1 st,2 nd, & 3 rd Places. 4 Th & 5 th Places will receive ribbons. OFFICIAL NOTICES: Please check the competition page on www.skatingclubofsaugerties.com for all updates. INFMATION REGARDING COACHES: U.S. Figure Skating Rule MR 5.11 Coach Registration In order to be granted access to work within U.S. Figure Skating sanctioned activities, each coach must complete the following requirements on an annual basis by July 1: A. Must be a current full member of U.S. Figure Skating - either through a member club or as an individual member; B. Must complete the coach registration process through the U.S. Figure Skating Members Only site, submit proper payment for the annual registration fee of $30 and, if 18 years of age or older, successfully pass the background screen. C. Must complete the appropriate CER courses (A, B, C or D) depending on the highest level of students being coached as of July 1. See rule MR 5.12. D. Must submit proof of current general liability insurance with limits of $1 million per occurrence/$5 million aggregate. For Basic Skills ONLY coaches - Any person, 18 and older, instructing in a U.S. Figure Skating Basic Skills Program must have successfully passed the annual background screen and be registered as a Basic Skills instructor member. The local organizing committee/club will have a list of compliant coaches who are cleared for a credential at the competition. Coaches will need to check in at the event registration desk and show a government issued photo I.D. to receive a credential. If a coach cannot provide a photo I.D. and is not on the list or cannot produce the necessary documents, he or she will not be allowed a credential no exceptions. We strongly urge all coaches to have their cards with them. Non-credentialed coaches will not be permitted in the designated coaching area at rink side during events including practice sessions. Coaching at U.S. Figure Skating events without proper registration is an ethics violation which is reported to U.S. Figure Skating and PSA. For more information regarding Coach Compliance, please refer to: http://www.usfigureskating.org/content/coaching%20compliance%20toolkit.pdf CONTACT INFO If you have questions, please contact: Amber Crispell at alwc86@gmail.com or 845-389-1848 2 P a g e

BASIC ELEMENTS AND PRE-FREESKATE COMPULSY EVENT Each skater will perform each element in the order listed below (no excessive connecting steps). The events will be skated on ½ ice. No music. Level Time Skating rules/standards Snowplow Sam 1:00 max. 1) March followed by a two-foot glide and dip 2) Forward two-foot swizzles, 2-3 in a row 3) Forward snowplow stop 4) Backward wiggles, 2-6 in a row Basic 1 1:00 max. 1) Forward two-foot glide and dip 2) Forward two-foot swizzles, 6-8 in a row 3) Beginning snowplow stop on two-feet or one-foot 4) Backward wiggles, 6-8 in a row Basic 2 1:00 max. 1) Forward one-foot glide, either foot 2) Scooter pushes, right and left foot, 2-3 each foot 3) Moving snowplow stop 4) Two-foot turn in place, forward to backward 5) Backward two-foot swizzles, 6-8 in a row Basic 3 1:00 max. 1) Beginning forward stroking showing correct use of blade 2) Forward ½ swizzle pumps on a circle, either clockwise or counter clockwise, 4-6 consecutive 3) Forward slalom 4) Beginning backward one-foot glide, either foot 5) Moving forward to backward two-foot turn on a circle Basic 4 1:00 max. 1) Backward one-foot glides, right and left 2) Forward outside edge on a circle, clockwise or counter clockwise 3) Forward crossovers, 4-6 consecutive, both directions 4) Beginning two-foot spin, 2-4 revolutions 5) Backward ½ swizzle pumps on a circle, one direction only Basic 5 1:00 max. 1) Backward outside edge on a circle, clockwise or counterclockwise 2) Backward crossovers, 4-6 consecutive, both directions 3) Advanced two-foot spin, 4-6 revolutions 4) Forward outside three-turn, right and left 5) Hockey stop Basic 6 1:00 max. 1) Forward inside three-turn, right and left 2) Bunny Hop 3) Forward spiral on a straight line, right or left 4) Beginning one-foot spin, 2-4 revolutions, optional free leg held position and entry 5) T-stop, right or left Pre-Free Skate 1:15 max 1) Forward inside open Mohawk from a standstill position (R to L and L to R) 2) Two forward crossovers into a forward inside Mohawk, step down and cross behind, step into one backward crossover and step to a forward inside edge, clockwise and counterclockwise 3) One-foot upright spin, optional entry and free-foot position (minimum three revolutions 4) Mazurka (Right and Left) 5) Waltz jump 3 P a g e

BASIC ELEMENTS AND PRE-FREESKATE PROGRAM EVENT The skating order of the required elements is optional. The elements are not restricted as to the number of times the element is executed or length of glides, number of revolutions, etc., unless otherwise specified. Events will be skated on full ice. Skaters may use elements from a previous level. A 0.2 deduction will be taken for each element performed from a higher level. Level Time Skating rules/standards Snowplow Sam 1:10 max. 1) March followed by a two-foot glide and dip 2) Forward two-foot swizzles, 2-3 in a row 3) Forward snowplow stop 4) Backward wiggles, 2-6 in a row Basic 1 1:10 max. 1) Forward two-foot glide and dip 2) Forward two-foot swizzles, 6-8 in a row 3) Beginning snowplow stop on two-feet or one-foot 4) Backward wiggles, 6-8 in a row Basic 2 1:10 max. 1) Forward one-foot glide, either foot 2) Scooter pushes, right and left foot, 2-3 each foot 3) Moving snowplow stop 4) Two-foot turn in place, forward to backward 5) Backward two-foot swizzles, 6-8 in a row Basic 3 1:10 max. 1) Beginning forward stroking showing correct use of blade 2) Forward ½ swizzle pumps on a circle, either clockwise or counter clockwise, 4-6 consecutive 3) Forward slalom 4) Beginning backward one-foot glide, either foot 5) Moving forward to backward two-foot turn on a circle Basic 4 1:10 max. 1) Backward one-foot glides, right and left 2) Forward outside edge on a circle, clockwise or counter clockwise 3) Forward crossovers, 4-6 consecutive, both directions 4) Beginning two-foot spin, 2-4 revolutions 5) Backward ½ swizzle pumps on a circle, one direction only Basic 5 1:10 max. 1) Backward outside edge on a circle, clockwise or counterclockwise 2) Backward crossovers, 4-6 consecutive, both directions 3) Advanced two-foot spin, 4-6 revolutions 4) Forward outside three-turn, right and left 5) Hockey stop Basic 6 1:10 max. 1) Forward inside three-turn, right and left 2) Bunny Hop 3) Forward spiral on a straight line, right or left 4) Beginning one-foot spin, 2-4 revolutions, optional free leg held position and entry 5) T-stop, right or left Pre-Free Skate 1:40 max 1) Two forward crossovers into a forward inside Mohawk, step down and cross behind, step into one backward crossover and step to a forward inside edge, clockwise and counterclockwise 2) One-foot upright spin, optional entry and free-foot position (minimum three revolutions 3) Mazurka (Right and Left) 4) Waltz jump 4 P a g e

INTRODUCTY LEVELS COMPULSY EVENT Skaters will perform the elements listed, in simple program form, using a limited number of connecting steps, the skating order of the required elements is optional and will be skated on ½ ice. No music is allowed. The skater must demonstrate the required elements and may use any additional elements from previous levels. A 0.2 deduction will be taken for each element performed from a higher level. Skaters may have the option to skate one level higher in compulsories than their free skate program. Level Time Skating rules/standards Waltz jump Beginner 1:15 max. ½ jump of choice Forward two-foot or one-foot spin - minimum three revolutions (free leg position optional) Forward or backward spiral Toe loop jump High 1:15 max. Salchow jump Beginner Forward scratch spin - minimum three revolutions Forward or backward spiral INTRODUCTY LEVELS FREE SKATE PROGRAM EVENT Skaters will skate to the music of their choice. Level will be determined by the highest free skate test passed. Skaters may compete at the highest level they have passed, or skate up to one level higher. Minimum number of spin revolutions are in parentheses following the spin description. Revolutions must be in position. Level Jumps Spins Step Sequences Qualification Beginner 1:40 Maximum Max. 5 jump elements: Jumps with no more than one-half rotation (front to back or back to front). Max. 2 jump sequences Max. 2 of any same jump Max. 2 spins: Two upright spins, no change of foot, no flying entry (Min. 3 revolutions) Connecting moves and steps should be demonstrated throughout the program Skaters may not have passed tests higher than U.S. Figure Skating Learn to Skate USA free skating badge tests High Beginner 1:40 Maximum Max. 5 jump elements: Jumps with no more than one-half rotation (front to back or back to front including half-loop) Single rotation jumps: Salchow and toe loop only. Max. 2 jump combinations or sequences Max. 2 of any same type jump. Max. 2 spins: Two upright spins, change of foot optional, no flying entry (Min. 3 revolutions) Connecting moves and steps should be demonstrated throughout the program Skaters may not have passed tests higher than U.S. Figure Skating Learn to Skate USA free skating badge tests 5 P a g e

PRE-PRELIMINARY THROUGH SENI LEVELS COMPULSY MOVES EVENT General event parameters: (1) Pre-preliminary Juvenile: Elements skated on ½ ice (2) Intermediate Senior: Elements skated on full-ice (3) Elements may be performed only once (4) Music is not allowed Level Time Skating rules/standards Single Toe Loop Pre 1:15 max. Jump combination: single/single (no Axel) Preliminary Sit spin or camel spin - minimum three revolutions Spiral sequence with one forward spiral and one backward spiral (any edge) Single Lutz Preliminary 1:15 max. Jump combination: single/single (may include Axel) Back upright spin - minimum three revolutions Forward inside spiral Single jump (may include Axel) Pre 1:15 max. Jump combination: single/single (may include Axel) Juvenile Layback spin or camel spin - minimum three revolutions Step sequence circular Single Axel Juvenile & 1:15 max. Jump combination: single/single or double/single Open Juv. Layback spin or camel spin - minimum three revolutions Step sequence circular Double Salchow or double toe loop Intermediate Jump combination: single/single or double/single Flying spin, minimum five revolutions Step sequence straight line Double loop Novice Jump combination: double/single or double/double Flying spin - minimum five revolutions Step sequence straight line Double flip Junior Jump combination: double/double or triple/double Combination spin - minimum 10 revolutions Step sequence straight line Double Lutz Senior Jump combination: double/double or triple/double Combination spin - minimum 10 revolutions Step sequence straight line 6 P a g e

TEST TRACK FREE SKATE: PRE-PRELIMINARY THROUGH SENI LEVELS PROGRAM EVENTS General event parameters: 1. Skaters may not enter both a Well-Balanced Free Skate or Introductory Level event and a Test Track Free Skate event at the same non-qualifying competition. 2. Skaters will skate to the music of their choice. Vocal music is permitted at all levels. 3. Level will be determined by the highest Free Skate test passed. Skaters may compete at the highest level they have passed, or skate up to one level higher. 4. Minimum number of spin revolutions are in ( ) following the spin description. Revolutions must be in position. 5. The following deductions will be taken: - 0.1 from each mark for each technical element included that is not permitted in the event description. - 0.2 from the technical mark for each extra element included. - 0.1 from the technical mark for any spin that is less than the required minimum revolutions. Please refer to http://usfsa.org/content/2017-18%20test%20track%20requirements.pdf for qualifications, program length, and required elements. WELL BALANCED EVENTS & SINGLES SHT PROGRAM (Refer to rule 4040 for information regarding vocal music) Event Level Highest FS test passed but no higher Time (minutes) +/- 10 sec except where noted USFS Rule No No Test No Test 1:40 maximum 4280 Pre-Preliminary Pre-Preliminary 1:40 maximum 4270 Preliminary Preliminary 1:30 4260 Pre Juvenile Pre-Juvenile 2:00 4250 Juvenile Juvenile 2:15 4240 Intermediate Short Program Intermediate 2:10 maximum 4230 Intermediate Free Skate Intermediate 2:40 4230 Novice Short Program Novice 2:30 maximum 4220 Novice Free Skate Novice 3:00 ladies, 3:30 men 4220 Junior Short Program Junior 2:40 4210 Junior Free Skate Junior 3:30 ladies, 4:00 men 4210 Senior Short Program Senior 2:40 4200 Senior Free Skate Senior 4:00 ladies, 4:30 men 4200 7 P a g e

SHOWCASE EVENTS DRAMATIC ENTERTAINMENT EVENTS Format: (1) Programs should express intense emotional connection and investment in the music, choreography and theme concept through related skating movements, gestures and physical actions. (2) Props and scenery are permitted. General event parameters: (1) Level will be determined by the highest free skate or dance (solo or partnered) test passed, as listed in the table below. Skaters may compete at the highest level they have passed, or skate up to one level higher. (2) The determination of level will be based upon test requirement at the entry deadline. (3) Current guidelines and procedures for non-qualifying showcase competitions can be found at www.usfigureskating.org, under Programs on the National Showcase page. SHOWCASE EVENTS LIGHT ENTERTAINMENT EVENTS Format: (1) Showcase program that should express a carefree concept or storyline designed to uplift and entertain the audience through related skating movements, gestures and physical actions. (2) Props and scenery are permitted. General event parameters: (1) Level will be determined by the highest free skate or dance (solo or partnered) test passed. Skaters may compete at the highest level they have passed, or skate up to one level higher. (2) The determination of level will be based upon test requirement at the entry deadline. (3) Current guidelines and procedures for nonqualifying showcase competitions can be found at www.usfigureskating.org, under Programs on the National Showcase page. SHOWCASE EVENTS DUET EVENTS Format: (1) Duets are theatrical or artistic performances by any competitors. (2) Props and scenery ARE permitted. General event parameters: (1) Level will be determined by the highest free skate or dance (solo or partnered) test passed. Skaters may compete at the highest level they have passed, or skate up to one level higher. (2) The determination of level will be based upon test requirement at the entry deadline. (3) Duets must compete at the highest test level of the two skaters. 8 P a g e

SHOWCASE EVENTS (DRAMATIC, LIGHT ENTERTAINMENT, DUET) - TEST AND AGE LEVELS Event Must meet requirements* Must have passed Free Skating or Dance test (solo or partnered standard track) Must not have passed Must not have passed Free Skate or Dance (solo or partnered) Test Age Time Beginner, High Beginner, No Test* Note: these levels do not qualify for National Showcase - Pre-Preliminary Free Skate No Age restriction 1:30 max Singles Pre-Preliminary* Note: these levels do not qualify for National Showcase - Preliminary Free Skate No Age restriction 1:30 max Preliminary Pre Juvenile Juvenile Teen Intermediate Young Adult Novice Junior Senior Preliminary Free Skate Pre Juvenile Free Skate Juvenile Free Skate Juvenile Free Dance Juvenile Free Skate Juvenile Free Dance Intermediate Free Skate Intermediate Free Dance Juvenile Free Skate Juvenile Free Dance Novice Free Skate Novice Free Dance Junior Free Skate Junior Free Dance Senior Free Skate Senior Free Dance Pre Juvenile Free Skate Juvenile Free Dance Juvenile Free Skate Juvenile Free Dance Intermediate Free Skate Intermediate Free Dance Intermediate Free Skate Intermediate Free Dance Novice Free Skate Novice Free Dance Novice Free Skate Novice Free Dance Junior Free Skate Junior Free Dance Senior Free Skate Senior Free Dance No minimum age (max age 20) No minimum age (max age 20) 1:40 max 1:40 max 13 and under 2:10 max 14-17 2:10 max 17 and under 2:10 max 18-20 2:10 max No Age Restriction 2:10 max 2:40 max 2:40 max Current guidelines and procedures for nonqualifying showcase competitions can be found at www.usfigureskating.org, under Programs on the National Showcase page. 9 P a g e

JUMP CHALLENGE EVENT General event parameters: Each jump may be attempted twice; the best attempt will be counted. Pre-juvenile and lower will be skated ½ ice; Juvenile senior will be skated on full ice Jumps with an * must be preceded with connecting steps (intermediate senior) Level Time Skating rules / standards Waltz jump (from backward crossovers) Beginner 1:15 max. ½ flip or ½ Lutz Single Salchow Waltz jump (from backward crossovers) High 1:15 max. Single Salchow Beginner Jump combination waltz jump-toe loop Single toe loop No-Test 1:15 max. Single loop Jump combination Any two ½ or single revolution jumps (no Axel) Single toe loop Pre 1:15 max. Single flip Preliminary Jump combination - Any two ½ or single revolution jumps (no Axel) Single flip Preliminary 1:15 max. Single Lutz Jump combination Any single jump + single loop (may be Axel) Single Axel Pre 1:15 max. Single or double jump Juvenile Jump combination single/single (no Axel) Single Axel Juvenile & 1:15 max. Double Salchow Open Juv. Jump combination single/single or double/single (no Axel) Single Axel Intermediate Double loop* Jump combination double/single (no Axel) Double loop Novice Double flip* Jump combination double/double (may be double Axel) Choice of double or triple jump Junior Double or triple flip* Jump combination double/double (may be double Axel) Choice of double or triple jump Senior Double or triple Lutz* Jump combination double/double or triple/double (may be double Axel) 10 P a g e

SPIN CHALLENGE EVENT General event parameters: Spins may be skated in any order. Connecting steps are allowed, but will not be taken into consideration in scoring. Spins may not be repeated. Only required elements may be included. All events are skated on ½ ice. Minimum number of revolutions are noted in parentheses. Level Time Skating rules / standards Upright one-foot spin (3) Beginner Upright two-foot spin (3) Sit spin (3) Upright one-foot spin (3) High Upright two-foot spin (3) Beginner Sit spin (3) Upright one-foot spin (3) No-Test Upright two-foot spin (3) Sit spin (3) Pre Preliminary Preliminary Pre Juvenile Juvenile & Open Juv. Intermediate Novice Junior Senior Upright one-foot spin (3) Upright back scratch spin (3) Sit spin (3) Forward scratch to back scratch spin (3) Combination spin with no change of foot (4) Sit spin (3) Camel spin (3) Combination spin camel to sit spin; no change of foot (6) Forward to backward scratch spin (3 per foot) Sit spin (4) Combination spin with change of foot; optional change of position (4 per foot) Girls layback spin (4); Boys camel spin (4) Flying camel spin (5) Sit spin to backward sit spin (4 per foot) Combination spin change of foot & change of position (4 per foot) Choice of camel, sit or layback spin (6) Camel spin to backward camel spin (4 per foot in position) Combination spin change of foot & two changes of position (2 per position & 5 per foot) Flying sit spin or flying reverse sit spin (6) Solo spin of choice (6) may not fly Combination spin with change of foot & utilizing all three positions (2 per position & 5 per foot) Flying spin of choice (6) Solo spin of choice (6) may not fly Combination spin with change of foot & utilizing all three positions (2 per position & 5 per foot) 11 P a g e

NONQUALIFYING COMPETITION ENTRY FM 2017 Falling Leaf Open Name: U.S. Figure Skating # Date of Birth: Address: Sex: Email: Cell phone: Name of parent or guardian: Highest MITF test: Home figure skating club: Coach name: Coach email: Highest free skate test: Coach U.S. Figure Skating# Coach cell phone: Please mark an X in the box next to events you are entering. BASIC SKILLS & PRE-FREESKATE EVENTS (The first event is $40.00 and an additional event is $15.00) Basic Skills Elements X Basic Program X Pre-Free/Free Skate Compulsory X Pre-Free/Free Skate Program Snowplow Sam Snowplow Sam Pre-Free Skate Pre-Free Skate Basic 1 Basic 1 Basic 2 Basic 2 Basic 3 Basic 3 Basic 4 Basic 4 Basic 5 Basic 5 Basic 6 Basic 6 X FREE SKATE EVENTS: (The first event is $65.00 and each additional event is $25.00) Introductory Events X Test Track Events X Well Balanced Program Events X Beginner Pre-Preliminary Pre-Preliminary High Beginner Preliminary Preliminary No Test Pre-Juvenile Pre-Juvenile Juvenile Open Juvenile Intermediate Juvenile Novice Intermediate Junior Senior Novice Junior Senior

FREE SKATE EVENTS: (The first event is $65.00 and each additional event is $25.00) Short X Compulsory Moves X Jumps Challenge X Spin Challenge X Program Intermediate Beginner Beginner Beginner Novice High Beginner High Beginner High Beginner Junior No Test No Test No Test Senior Pre-Preliminary Pre-Preliminary Pre-Preliminary Preliminary Preliminary Preliminary Pre-Juvenile Pre-Juvenile Pre-Juvenile Juvenile Juvenile Juvenile Intermediate Intermediate Intermediate Novice Novice Novice Junior Junior Junior Senior Senior Senior SHOWCASE EVENTS (The first event is $65.00 and each additional event is $25.00; Duets are $25.00 each skater) Dramatic X Light Entertainment X Duets X Beginner, High Beginner, No Test Beginner, High Beginner, No Test Pre-Preliminary Pre-Preliminary Pre-Preliminary Preliminary Preliminary Preliminary Pre-Juvenile Pre-Juvenile Pre-Juvenile Juvenile Juvenile Juvenile Teen Teen Teen Intermediate Intermediate Intermediate Young Adult Young Adult Young Adult Novice Novice Novice Junior Junior Junior Senior Senior Senior Beginner, High Beginner, No Test First Event Additional Event Additional Event Additional Event Additional Event Additional Event $ $ $ $ $ $ Paper Entry Fee $ 15.00 Total: $

Certification of Competitor: The Competitor is eligible to enter the events checked. It is agreed that the competitor and family holds The Skating Club of Saugerties/Kiwanis Ice Arena harmless from any and all liability either during practice or the competition, and from any and all liability for damages to or loss of property. Instructor/coach has verified that the skater/team is entered in the correct level. The Program Director/Club Officer has verified that the skater/team is in good standing. Parent/Guardian Signature Date Competitor Signature Date Instructor/Coach Signature Date Program Director/Club Officer Date ENTRY FEES ARE NOT REFUNDABLE AFTER THE ENTRY DEADLINE UNLESS AN EVENT IS CANCELED. The completed entry form, with fees, must be postmarked no later than October 14, 2017 Make check or money order payable to The SC of Saugerties and mail to: The Skating Club of Saugerties C/O Amber Crispell P.O. Box 764 Saugerties NY 12477 For additional information call: Amber Crispell: 845-389-1848