Form N 1 WINTER CUP 2016 International Synchronized Skating Competition Gullegem, Belgium 24,25,26 November

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Form N WINTER CUP 06 PRELIMINARY ENTRY FORM PLEASE RETURN THIS FORM BY SEPTEMBER st _06_ ISU MEMBER : Country TEAM: CATEGORY : JUNIOR SENIOR ADVANCED NOVICE TEAMMANAGER: CHAPERONNE: CHAPERONNE: COACH: ASSISTANT COACH: Signature of Team Official: And Name in Capitals Position of Team Official and Date: Please indicate if you require Unofficial Practice Ice and how many blocks you would ideally like to book. The Unofficial Practice Ice is in 5 minute Blocks @ 50 per Block and will be available on Wednesday rd November and Thursday 4th November 06. I would like to reserve Blocks Please indicate - Wed or Thurs Please email this form as soon as possible to: wintercupbelgium@gmail.com

Form N WINTER CUP 06 OFFICIAL ENTRY FORM A separate entry form must be submitted for each team entered DEADLINE st October 06 ADV NOVICE ISU JUNIOR ISU SENIOR ISU Team Name ISU MEMBER TEAM NAME: COUNTRY: NAME OF CLUB/RINK: ALL TEAMS: TEAM MANAGER/OFFICIAL NAME & ADDRESS + ZIP CODE (UK POST CODE) TEAM LEADER EMAIL CONTACT NO: EMAIL CONTACT NO: TEAM COACH: NAME AND SIGNATURE ) ) CLOSING DATE FOR THIS EVENT IS st October 06 PAYMENT DETAILS BANK TRANSFER Transfer Amount MADE ON (DATE) PLEASE MAKE PAYMENT BY DIRECT BANK TRANSFER AT TE LATEST BY OCTOBER ST 06 All Payments should be made by Direct Bank Transfer to the following account: Bank: Fintro, Oudenaarde, Belgium Account Name: Wintercup Account Number: 4-0907-7 International Entries should additionally quote: BIC Code: GEBABEBB IBAN No: BE49 40 907 7

Form N WINTER CUP 06 TEAM MEMBERS A separate entry form must be submitted for each team entered DEADLINE st October 06 Please enter Synchro team members in alphabetical order followed by alternates.. Please indicate team captain with an asterisk. * If you are submitting a handwritten form please write in capitals very clearly thank you. TEAM NAME CATEGORY Name: (please indicate male skaters with M )... 4. 5. 6. 7. 8. 9. 0.... 4. 5. 6. 7. 8. 9. 0. Date of Birth D M Y Citizenship The undersigned ISU Member Association hereby certifies that the above mentioned Team is eligible in accordance with ISU Regulations. Place & date: Signature: Title:

Form N. 4 WINTER CUP 06 MUSIC AND PRESS INFORMATION DEADLINE st October 05 ISU MEMBER: TEAM: TEAM MANAGER: CATEGORY: COUNTRY: All music must be sent to : wintercupbelgium@gmail.com and on CD with the Team s name, event and the length of the music (not the skating time) clearly indicated. A spare copy should be readily available at rinkside SHORT PROGRAM Music Composer Time (min) FREE PROGRAM Music Composer Time (min) TEAM INFORMATION: MAIN RESULTS National Championships 0 0 04 05 06 International Competitions 0 0 04 05 06 NOTE: A TEAM PHOTOGRAPH IS REQUIRED FOR THE PROGRAMME AND POSSIBLY THE PRESS. PLEASE SEND IT TOGETHER WITH THE ENTRY FORM The requested information may be used for press and media Place & date: Signature: Title:

Form N. 5 WINTER CUP 06 PAYMENT SUMMARY DEADLINE st October 05 TEAM NAME: CATEGORY: COUNTRY: ENTRY FEE SENIOR/JUNIOR Price 450 ADV NOVICE 400 EXTRA PRACTICE ICE FINLANDIA Price Number of Blocks to be reserved Each 5 MIN block 50 TOTAL AMOUNT (EURO) NAME & DATE: TITLE: SIGNATURE: All Payments should be made by Direct Bank Transfer to the following account: Bank: Fintro, Oudenaarde, Belgium Account Name: Wintercup Account Number: 4-0907-7 International Entries should additionally quote: BIC Code: GEBABEBB IBAN No: BE49 40 907 7

Form N 6 WINTER CUP 06 Program Content (SYNCHRO) - ELEMENTS IN ORDER OF SKATING THIS FORM MUST BE RETURNED NO LATER THAN ST OCTOBER 05 Please fill in the elements sheet below in the correct order. PLEASE USE THE OFFICIAL ELEMENT CODES. It is important that these forms are completed correctly for successful entry to this competition. Category: TEAM: Elements SP (ISU Junior & Senior Teams only) Elements FS 4 5 6 4 7 8 5 9 0 6 7 4 8 5 6 9 7 8 0 9 0 Date, Signature Team Coach :