Eighteenth Annual Kick-Off Classic Synchronized Skating Competition

Eighteenth Annual Kick-Off Classic Synchronized Skating Competition November 17 th 19 th, 2017 Wings Event Center, Kalamazoo, MI Sponsored by the Greater Kalamazoo Skating Association Sanctioned by US Figure Skating & Skate Canada

The Kick-Off Classic Synchronized Skating Competition 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 synchronized teams comprised of members who are eligible, restricted, reinstated or readmitted persons as defined by the Eligibility Rules, and are currently registered members of an U.S. Figure Skating member club, a collegiate club, or are individual members in accordance with the current Rulebook. Refer to the current Rulebook regarding eligibility of non-u.s. citizens. This event is proud to participate in the Midwest Synchronized Skating Challenge Series. Participation in this series is open to all Snowplow Sam Synchro, Synchro Skills 1, 2, and 3 teams and preliminary, pre-juvenile, and open juvenile teams. Visit www.usfigureskating.org for more information about this series. Results of this event for participating teams will be reported to U.S. Figure Skating for calculation of the series results. ELIGIBILITY/TEST AND AGE REQUIREMENTS: Skaters must meet the age requirements by the July 1 st preceding this competition. This competition is not requiring that Moves in the Field test requirements be met, with the exception of the maximum allowed at the Learn to Skate USA levels. ENTRIES: All applications must be postmarked by: September 18 th, 2017. Note: There may be a maximum number of entries allowed in each division. Once that limit has been reached, teams will be placed on a waiting list for entry into the competition. Teams will be notified of their placement/status on the wait list if need be. Late entries will be accepted at the sole discretion of the Greater Kalamazoo Skating Association, and if accepted, may be subject to a late fee of $50/team. Synchro Skills 1-3, and Snowplow Sam Synchro events should run in accordance with the Learn to Skate USA Competition Manual (a maximum of 6 teams per group.) For Synchro Skills 1-3, if a team fits into one level age-wise, but would like more of a challenge, they should be able to skate up one level. (For example, team has majority of skaters less than 9 years of age but would like to skate in the Synchro Skills 2, they should be allowed.) Applications should be sent to: Lisa Sumner, KOC Registrar 424 Tuscany Drive Portage, MI 49024 The entry fee is $125.00 per event, plus $22.00 per competitor, including alternates. The entry fee for Synchro Skills levels is $55 per team, plus $8 per skater. All fees are due when applications are submitted, and must be payable in U.S. dollars only. Please make checks payable to: GKSA. All teams MUST submit Entry Form 3 (Liability Waiver/Certification by Club Officer) and Entry form 5- page 3 (Parent & Athlete Concussion Release, signed by each athlete or parent/guardian, if skater is under 18) either with their application or soon thereafter, but prior to arrival at the competition site. REFUND POLICY: Entry fees will not be refunded after September 18 th, 2017, unless no competition exists or a particular event is canceled. Checks returned for non-sufficient funds

will be assessed a $30.00 fee. Payment of the fee will be required before the team is allowed to participate in any event, including practice ice. FACILITIES: The competition will be held at the Wings Event Center (3600 Vanrick Drive, Kalamazoo, MI 49001, (269) 345-1125, www.wingseventcenter.com). The competition will take place in the 5,000 seat arena. Competition and practice ice surfaces all measure 85x200 ft. Teams will enter the competition ice at section 18 with the officials to their right, and exit at section 15 with officials to their left (see attached rink map on page 22). Concession stands will be open throughout the duration of the event. MUSIC: The official competition music must be turned in at the registration table at the time of check-in. Only CDs (standard compact disk format) will be accepted. 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 during the competition, but the Greater Kalamazoo Skating Association cannot be responsible for CDs left at the end of the competition. *** PLEASE HAVE SEPARATE CDs FOR PRACTICE ICE AND COMPETITION. LIABILITY: U.S. Figure Skating, the Greater Kalamazoo Skating Association and the Wings Event Center 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 International Judging System (IJS) will be used for the following events: Juvenile Intermediate Novice Junior Short Program & Free Skate Senior Short Program & Free Skate Collegiate Adult The majority 6.0 Judging System will be used for the following events: Snowplow Sam Synchro Synchro Skills 1-3 Preliminary Pre-Juvenile Open Juvenile Masters Open Adult Open Masters Open Collegiate All teams competing in a level judged under the IJS will be required to complete a planned program content (PPC) sheet. Each team s PPC sheet must be completed via their Member s Only profile at www.usfsaonline.org at least 7 days before the start of the event. REGISTRATION: Registration will open on Friday, November 17 th one to two hours before the first scheduled practice ice time and run through the last event of each day. The registration table will be located in the Wings Event Center ticket lobby (see letter A on attached rink map page 22). One coach/manager should register on behalf of the team, as soon as the team arrives at the competition. Coaches must also register separately to receive their credentials (see coaching requirements below).

ADMISSION: Teams will receive competitor ribbons for all skaters and alternates, as well as two manager ribbons. There will be an admission fee at the door of $10, $9 for seniors (62 and over), per ticket, per day of the competition, or $15.00 for a two-day ticket, and no charge for children 5 and under, and active military with proper ID. PRACTICE ICE: (Entry Form #6): Practice ice sessions will be held on the Arena, Valley or Zoo surfaces of the Wings Event Center. All surfaces are 85x200 feet. Ice will be available from 3 pm Friday to 12 am Saturday. Ice time will be sold in 15-minute segments on a first-come, first-served basis for $115.00 per segment. Teams will be notified of their assigned time(s) by email, in early November, 2017. * ON - ICE CRITIQUE SESSIONS (Entry Form #7): Critique sessions with the judges will be scheduled both during the days of, and following the conclusion of, the competition. The 15-minute segments will be available on a first-come, first-served basis for $115.00 per segment.* Note: These critiques are separate from IJS Midwest Sectional Monitoring Sessions. *Please note that there will be more availability for practice sessions and judge critiques during the day on Saturday this year, since IJS monitoring will not be offered. The Synchronized Management Subcommittee (SMS) has designated Kick-Off Classic Synchronized Skating Competition as a non-qualifying event that will help determine competition readiness for the International Selection Pool of junior and senior teams to be named a part of Team USA. PHOTOGRAPHY/VIDEOGRAPHY: The competition will be videotaped by Ledin Video, and photographs will be taken by Best Ever Media. AWARDS: Awards will be given on the basis of final round placement. All members of teams placing first, second, third and fourth will be awarded medals. Members of teams competing in the Snowplow Sam Synchro, Synchro Skills 1, 2 and 3 divisions, placing 5 th or below, will receive participation medals. Since the junior and senior short programs and free skates are separate events, medals will be given for each event. Awards will be located at the awards table in the Stadium concourse near the main Wings Event Center entrance (see letter A on attached rink map page 22) OFFICIAL NOTICES: An official bulletin board will be maintained at the registration table. It is the responsibility of each competitor, parent, and/or coach to check the bulletin board frequently for any schedule changes and/or additional information. Skaters are requested to arrive 45 minutes prior to the scheduled time of their event. The official schedule of events will be posted on the Greater Kalamazoo Skating Association s website (www.greaterkzooskate.org) no later than 14 calendar days prior to the commencement of the competition. INFORMATION REGARDING COACHES: To coach at an U.S. Figure Skating competition, a professional coach or choreographer must be: Declared by the skater or team in the registration process Listed as Coaches Education Requirement (CER) Category A or B certified for the current season If coaches are ONLY coaching Learn to Skate USA Snowplow Sam Synchro, and/or Synchro Skills 1-3 teams, then a Learn to Skate USA Instructor Membership, background check, and instructor certification are sufficient. If the professional is coaching any other level teams at a non-qualifying event, then he/she must have, minimally, a CER B certification for the current season. Current with Coach Registration (requires annual fee and background check) A current member in good standing with U.S. Figure Skating

A coaches requirements chart may be found here: http://usfsa.org/content/coach%20requirements%20chart.pdf The local organizing committee/club will have a list of 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. Coaches who are NOT on the list will need to show proof of membership in U.S. Figure Skating, a Coach Registration card, proof of Category A or B compliance in CER, and a photo I.D. at check-in. 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. CONTACT INFORMATION: Competition website: www.greaterkzooskate.org For questions, please contact the following individuals: Competition Chair: Kristen Crandle koc@greaterkzooskate.org (269) 720-2347 Referee: Hannelore Murphy hannelore389@hotmail.com (810) 798-8807 Practice Ice: Jim Sumner koc@greaterkzooskate.org (269) 327-1755 PRACTICE ICE/CRITIQUE/BLOCK SCHEDULES: Practice ice and critique schedules will be emailed to participating teams when they are finalized. Block schedules will be posted on our website (www.greaterkzooskate.org) as soon as they are available. HOTEL ACCOMMODATIONS: Please see the next to last page of registration packet (just before Wings Event Center map) for details about hotel accommodations. TRANSPORTATION: The Wings Event Center has multiple parking lots. Team buses will drop off and pick up at the main Wings Event Center entrance outside the ticket office and park in the North Lot (see letter A on attached map - page 22). Spectators will park in the South Lot. The Wings Event Center will charge a $10.00 parking fee, per vehicle, for spectators, with unlimited re-entry, on Saturday, and a $5.00 fee, per vehicle, on Sunday. Coaches will no longer receive parking credentials. SOUVENIRS: Competition pins and programs will be available for purchase at the competition and a number of vendors will also be present in the concourse of the Stadium rink. FOOD: A buffet will be available for teams and spectators in The Nest Bar and Grill on Saturday from 11am 2 pm. Hours may be adjusted to complement rink schedules. The buffet cost is $12.50/person for lunch, including tax. For buffet offerings, please see page 20 of the registration packet. Please use the link below to make arrangements for your meals. If any issues arise when attempting to use the link, please contact Karen Winkle Karen Winkle, Facilities and Operations, Wings Event Center kwinkle@ghgkz.com (269) 226-0382 https://squareup.com/store/wings-event-center Concession stands will also be open throughout the event.

Please note that Wings Event Center policy is that no outside food is to be brought into the complex. PROGRAMS: All teams will be represented in the program. Please submit, in paragraph form (with no formatting), in an MS Word document, the names of the coaches and skaters in the order in which you would like them to appear in the program. If team pictures for the program are desired, please submit them no later than October 13, 2017. There will be no exceptions. Pictures must be submitted electronically in a jpg, png or eps high resolution file, formatted for no smaller than a 5 x7 photo. Please send pictures and text to: koc@greaterkzooskate.org. EVENTS OFFERED: See the current Rulebook/website for current rules and ISU communications. http://www.usfigureskating.org/story?id=84114 Illustration of Synchronized Skating competitive pipeline and events; age restrictions, test requirements, and program duration are on the next page: Snowplow Sam Synchro Synchro Skills 1 Synchro Skills 2 Synchro Skills 3 Learn to Skate USA / Introductory Events Preliminary Pre-Juvenile Developmental / Non-Qualifying Events Open Juvenile Juvenile Intermediate Novice Competitive Events Junior Senior Open Collegiate Collegiate Collegiate Events Open Adult Open Masters This event Masters is a standard U.S. Figure Skating Synchronized Skating Non-Qualifying Competition

Adult Events Adult A. Snowplow Sam Synchro: A team of 5-12 skaters. The majority of the team must be under 7 years of age. No skaters may have passed higher than a preliminary MITF test. Program duration: maximum 2 minutes, 10 seconds Rules: http://www.usfigureskating.org/programs?id=84096&menu=synchronized B. Synchro Skills 1: A team of 8 to 16 skaters. The majority of the team must be under 9. No skaters may have passed higher than the preliminary MITF test. Program duration: maximum 2 minutes, 10 seconds Rules: http://www.usfigureskating.org/programs?id=84096&menu=synchronized C. Synchro Skills 2: A team of 8 to 16 skaters. The majority of the team must be under 12 years of age. No skaters may have passed higher than the preliminary MITF test. Program duration: maximum 2 minutes, 10 seconds Rules: http://www.usfigureskating.org/programs?id=84096&menu=synchronized D. Synchro Skills 3: A team of 8 to 16 skaters. The majority of the team must be at least 12 years old. No skaters may have passed higher than the preliminary MITF test. Program duration: maximum 2 minutes, 40 seconds Rules: http://www.usfigureskating.org/programs?id=84096&menu=synchronized E. Preliminary: A team of 8 to 16 skaters. All skaters must be under 12. The majority of the team must be under 10. Program duration: 2 minutes Well balanced program: Rule 7270 F. Pre-Juvenile: A team of 8 to 16 skaters. The majority of the team must be under 12. Program duration: 2 minutes, 15 seconds Well balanced program: Rule 7260 G. Open Juvenile: A team of 8 to16 skaters. All skaters must be under 20 and have passed the pre-preliminary MITF test. Program duration: 2 minutes, 30 seconds Well balanced program: Rule 7250 H. Juvenile: A team of 12 to 20 skaters. All skaters must be under 13 and have passed the pre-juvenile MITF test. Program duration: 3 minutes Well balanced program: Rule 7240 I. Intermediate: A team of 12 to 20 skaters. All skaters must be under 18 and have passed the juvenile MITF test. Program duration: 3 minutes, 30 seconds Well balanced program: Rule 7230 J. Novice: A team of 12 to 20 skaters. Skaters must be under 16, with the exception that up to 4 team members may be 16 or 17. All must have passed the intermediate MITF test. Program duration: 3 minutes, 30 seconds Well balanced program: Rule 7220

K. Junior: A team of 12 to 16 skaters. All skaters must be at least 13 and under 19 as of the preceding July 1. All skaters must have passed the novice MITF test. Short program duration: Maximum 2 minutes, 50 seconds Free skate duration: 4 minutes Well balanced program and short program: Rule 7210 L. Senior: A team of 16 skaters. All skaters must be at least 15 as of the preceding July 1 st and have passed the junior MITF test. Short program duration: Maximum 2 minutes, 50 seconds Free skate duration: 4 minutes, 30 seconds Well balanced program and short program: Rule 7200 M. Open Collegiate A team of 8 to 16 skaters. All skaters must have a high school diploma or equivalent and be enrolled in a college or university as a full-time student, as of the entry deadline. Program duration: 3 minutes Well balanced program: Rule 7290 N. Collegiate: A team of 12 to 20 skaters. All skaters must have a high school diploma or equivalent and be enrolled in a college or university as a full-time student, as of the entry deadline, and have passed the juvenile MITF test. Program duration: 4 minutes Well balanced program: Rule 7280 O. Open Adult A team of 8 to 16 skaters. The majority of skaters must be at least 19 years or older. Program duration: 2 minutes, 30 seconds Well balanced program: Rule 7520 P. Open Masters A team of 8 to 16 skaters. All skaters must be at least 25, and the majority of the team must be at least 30. Program duration: 2 minutes, 30 seconds Well balanced program: Rule 7530 Q. Masters: A team of 12 to 20 skaters. All skaters must be at least 25, and the majority of the team must be at least 30. Program duration: 3 minutes Well balanced program: Rule 7510 R. Adult: A team of 12 to 20 skaters. All skaters must be at least 21 with the exception that up to 4 team members may be 18, 19 or 20 years of age. All skaters must have passed the preliminary MITF test, the adult bronze MITF test, the preliminary figure test or the preliminary dance test. Program duration: 3 minutes, 15 seconds Well balanced program: Rule 7500 Teams are permitted to have a maximum of four alternates in addition to the maximum number of athletes allowed on the ice at their level.

Snowplow Sam Synchro Skills 1, 2, 3 Preliminary Pre -Juvenile Open Juvenile Juvenile Intermediate Novice Junior Senior Open Collegiate Collegiate Open Adult Open Masters Masters Adult Crossover Rules: No team may be comprised of more than 50% of athletes that are also on any other team. This applies to both the entire roster and the athletes that are skating on the ice at any given competition. The chart below illustrates the levels where crossover skaters are allowed. The shaded areas indicate no crossovers are allowed. An X indicates crossovers are allowed between the two levels, providing all requirements are met as defined Rules 7200 7530, in addition to the statement above. Snowplow Sam Synchro, Synchro Skills 1, 2 or 3 Preliminary Pre - Juvenile Open Juvenile Juvenile X X Intermediate X X X X Novice X X X X Junior X X X X Senior X X X X X Open Collegiate Collegiate X X X Open Adult Open Masters Masters X Adult X X X

KICK-OFF CLASSIC SYNCHRONIZED SKATING COMPETITION November 17th 19th, 2017 ENTRY FORM 1: Team Information Team name: Team USFS #: Club: (if applicable) City/Town Represented: Team contact person: Cell phone number: E-mail: Address: City State/ZIP Coaches (Please list only those attending KOC. If more than two coaches will be attending, list on back of page.) Coach Name USFS # Cell Phone E-mail Coach Name USFS # Cell Phone E-mail Please check the level/event(s) entered: [ ] [ ] Snowplow Sam Synchro Synchro Skills 1 [ ] Juvenile [ ] Open Collegiate [ ] Synchro Skills 2 [ ] Intermediate [ ] Collegiate [ ] Synchro Skills 3 [ ] Novice [ ] Open Adult [ ] Preliminary [ ] Junior short program [ ] Adult [ ] Pre-Juvenile [ ] Junior free skate [ ] Open Masters [ ] Open Juvenile [ ] Senior short program [ ] Masters [ ] Senior free skate Entry Fees Enclosed: $ for Synchro Skills events $ 55 per team/synchro Skills event $ for Synchro Skills competitors $ 8 per skater/synchro Skills event $ for event(s) $ 125.00 per team/event $ for competitors and alternates $ 22.00 per skater/event $ for practice ice session(s) $ 115 per team/practice ice $ for judge s critique $ 115 per team/judge s critique $ TOTAL (check # ) Checks should be made payable to: GKSA Please send all forms and fees to: Lisa Sumner, KOC Registrar 424 Tuscany Drive Portage, MI 49024 All fees and entry forms must be postmarked by: September 18, 2017 Note for collegiate/open collegiate teams: Please send with competition registration, a copy of the collegiate certification page, or alternate proof of your athletes student status, as of the entry deadline. Note for Snowplow Sam Synchro & Synchro Skills 1-3 teams: Teams may choose to represent either a full member club or an U.S. Figure Skating Learn to Skate USA program.

KICK-OFF CLASSIC SYNCHRONIZED SKATING COMPETITION November 17th 19th, 2017 ENTRY FORM 2: Team Entry Form Team Name: Level: 1. SKATER NAMES IN ALPHABETICAL ORDER Last name, first name Birth date Age as of Jul 1, 2017 USFS #** Highest MITF test passed * 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. Alt. 1.*** Alt. 2.*** Alt. 3.*** Alt. 4.*** * Required for teams entering open juvenile, juvenile, intermediate, novice, junior, senior, collegiate and adult. Also required for Snowplow Sam Synchro & Synchro Skills 1-3 teams. As of the entry deadline, skaters on Learn to Skate USA Synchro Skills teams are not permitted to have passed higher than a preliminary MITF test. ** Skaters on Snowplow Sam Synchro or Synchro Skills 1-3 teams may be either full U.S. Figure Skating members or Learn to Skate USA members. ***Teams are permitted to have a maximum of four alternates, in addition to the maximum number of athletes allowed on the ice at their level.

KICK-OFF CLASSIC SYNCHRONIZED SKATING COMPETITION November 17th 19th, 2017 ENTRY FORM 3: Liability Waiver/Certification by Club Officer Team Name: Level: U.S. Figure Skating and the clubs or organizers of competitions undertake no responsibility for damages or injuries suffered by the skaters or officials. As a condition, and in consideration of, the acceptance of their entries or participation therein, all entrants, their parents and guardians and officials shall be deemed to agree to assume all risks of injury to their persons and property resulting from, caused by or connected with, the conduct and management of the competition, and to waive and release any and all claims which they may have against any officials, U.S. Figure Skating, the Greater Kalamazoo Skating Association, and against its officers, and their entries shall be accepted only on such condition. Skater s names in alphabetical order Skater signature or parent/guardian (if skater is under 18) 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. Alt. 1 Alt. 2 Alt. 3 Alt. 4 Club officer or Learn to Skate USA Program Director: All of the skaters listed on the team entry form are, to the best of my knowledge, members in good standing and eligible to compete under U.S. Figure Skating or Skate Canada rules. Print Name: Signature: Title: Club or Learn to Skate USA program name:

KICK-OFF CLASSIC SYNCHRONIZED SKATING COMPETITION November 17th 19th, 2017 ENTRY FORM 4: Collegiate Certification page for Collegiate and Open Collegiate teams ONLY. Collegiate and Open Collegiate teams must comply with Rule 7280 (Collegiate) or Rule 7290 (Open Collegiate). Athletes must have high school diplomas or equivalent and be enrolled in degree programs at colleges or universities as full time students, as recognized by the colleges or universities they attend, as of the entry deadline for this event. Use a separate form for each institution the members attend. Collect all of the forms and send them together. Students may also choose another method to prove their student status, such as a print- out of an unofficial transcript or a letter from the registrar. Team Name: USFS #: Level: LAST NAME FIRST NAME STUDENT ID NUMBER 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. TO BE COMPLETED BY THE COLLEGE OR UNIVERSITY REGISTRAR: I certify that the students listed above are considered full-time students by the following institution: Name of Registrar: Signature: Date:

KICK-OFF CLASSIC SYNCHRONIZED SKATING COMPETITION November 17th 19th, 2017 ENTRY FORM 5: Concussion Release

KICK-OFF CLASSIC SYNCHRONIZED SKATING COMPETITION November 17th 19th, 2017 ENTRY FORM 5 (cont.): Concussion Release PLEASE SIGN TEAM FORM ON NEXT PAGE In rare cases, a dangerous blood clot may form on the brain in a person with a concussion and crowd the brain against the skull. An athlete should receive immediate medical attention if after a bump, blow, or jolt to the head or body s/he exhibits any of the following danger signs: One pupil larger than the other Is drowsy or cannot be awakened A headache that gets worse Weakness, numbness, or decreased coordination Repeated vomiting or nausea Slurred speech Convulsions or seizures Cannot recognize people or places Becomes increasingly confused, restless, or agitated If an athlete has a concussion, his/her brain needs time to heal. While an athlete s brain is still healing, s/he is much more likely to have another concussion. Repeat concussions can increase the time it takes to recover. In rare cases, repeat concussions in young athletes can result in brain swelling or permanent damage to their brain. They can even be fatal. See Attached STUDENT-ATHLETE NAME PRINTED STUDENT-ATHLETE NAME SIGNED 1. If you suspect that an athlete has a concussion, remove the athlete from play and seek medical attention. Do not try to judge the severity of the injury yourself. Keep the athlete out of play the day of the injury and until a health care professional, experienced in evaluating for concussion, says s/he is symptom-free and it s OK to return to play. 2. Rest is key to helping an athlete recover from a concussion. Exercising or activities that involve a lot of concentration, such as studying, working on the computer, and playing video games, may cause concussion symptoms to reappear or get worse. After a concussion, returning to sports and school is a gradual process that should be carefully managed and monitored by a health care professional. 3. Remember: Concussions affect people differently. While most athletes with a concussion recover quickly and fully, some will have symptoms that last for days, or even weeks. A more serious concussion can last for months or longer. DATE See Attached PARENT OR GUARDIAN NAME PRINTED PARENT OR GUARDIAN NAME SIGNED DATE

KICK-OFF CLASSIC SYNCHRONIZED SKATING COMPETITION November 17th 19th, 2017 ENTRY FORM 5 (cont.): Concussion Release Must be signed and returned by all athletes (or parents/guardians) prior to skating on any sanctioned ice at the competition. By signing below, the athlete/parent acknowledges receipt of the Parent & Athlete Concussion Information Sheet above. The Parent & Athletic Concussion Information Sheet is also available at http:/michigan.gov/documents/mdch/parentandathleteinfosheet_415328_7.pdf. Team Name: Level: Student-Athlete Name Printed Student-Athlete Name Signed Date Parent or Guardian Name Printed* Parent or Guardian Name Signed* Date* *If athlete is 18 years of age or older, may be left blank.

KICK-OFF CLASSIC SYNCHRONIZED SKATING COMPETITION November 17th 19th, 2017 ENTRY FORM 6: Practice Ice Availability: Friday, November 17, 2017 (3:00pm - 12:00am) Saturday, November 18, 2017 (6:00am - TBD based on availability) Sunday, November 19, 2017 (6:00am - TBD based on availability) Please complete a separate Practice Ice Form for each team. This form may be reproduced as needed. Team Name: Division (please check one): [ ] Snowplow Sam Synchro [ ] Synchro Skills 1 [ ] Juvenile [ ] Collegiate [ ] Synchro Skills 2 [ ] Intermediate [ ] Open Adult [ ] Synchro Skills 3 [ ] Novice [ ] Adult [ ] Preliminary [ ] Junior [ ] Open Masters [ ] Pre-Juvenile [ ] Senior [ ] Masters [ ] Open Juvenile [ ] Open Collegiate Number of Practice Sessions Requested: (Please note that if more than 1 session is requested, they will be scheduled consecutively unless noted otherwise.) Contact: Phone: E-mail: Practice ice will be scheduled based on a first-come, first-served basis and is available in 15- minute segments for $115.00 per segment. Practice ice times may be limited. Practice ice for teams competing in the morning will generally be scheduled the day before. For teams competing in the afternoon/evening, practice ice sessions will be scheduled either the day before, or the day of their event. Younger skaters will generally be given earlier evening sessions, if possible. If there are any special requests (ex. travel constraints, non-consecutive practice ice session requests, multiple teams with a single coach), please list those below: Every effort will be made to accommodate special requests, as the schedule allows.

KICK-OFF CLASSIC SYNCHRONIZED SKATING COMPETITION November 17th 19th, 2017 ENTRY FORM 7: On-Ice Judges Critique Critiques will be scheduled both during the days of, and following the conclusion of, the competition and will be conducted on any of the three ice surfaces. If scheduling requires critiques to be after a team has competed, then all teams requesting a critique, within that flight, will have critiques after they compete. The cost for each 15-minute critique is $115.00. Please complete a separate Critique Ice Form for each team. This form may be reproduced as needed. Team Name: Please check the level/event(s) entered: [ ] Snowplow Sam Synchro [ ] Synchro Skills 1 [ ] Juvenile [ ] Open Collegiate [ ] Synchro Skills 2 [ ] Intermediate [ ] Collegiate [ ] Synchro Skills 3 [ ] Novice [ ] Open Adult [ ] Preliminary [ ] Junior short program [ ] Adult [ ] Pre-Juvenile [ ] Junior free skate [ ] Open Masters [ ] Open Juvenile [ ] Senior short program [ ] Masters [ ] Senior free skate Contact: Phone: E-mail: *** Please note that these critiques are not IJS Monitoring Sessions.

KICK-OFF CLASSIC SYNCHRONIZED SKATING COMPETITION November 17th 19th, 2017 ENTRY FORM 8: Program Advertising and Patron Donations ADVERTISING Ads will be interspersed throughout the program. Artwork must be received by October 13th, 2017 to guarantee inclusion in the competition program. Please submit electronic artwork in a jpg, png or eps high resolution file, formatted for no smaller than a 5 x7 photo. Please submit to: koc@greaterkzooskate.org DONATIONS The Patron List will appear in the front portion of the program. Patrons will be listed alphabetically under the WALTZ JUMP, LOOP, LUTZ, or AXEL categories. Greater Kalamazoo Skating Association is tax-exempt under IRS code 501(c)3 Forms/payments must be postmarked by Friday, October 13 th, 2017 and mailed to: Lisa Sumner, KOC Registrar 424 Tuscany Drive Portage, MI 49024 Please make checks payable to GKSA. Questions: email koc@greaterkzooskate.org Sponsored by Greater Kalamazoo Skating Association Please type or print all information ADVERTISEMENTS (check one) PATRON DONATION 1 / 8 pg (3 ½ x2 1 / 8 standard business card) =$40 Waltz Jump (contribution of $25.00-$49.00) 1/4 page = $60 Loop (contribution of $50.00-$99.00) 1/2 page = $120 Lutz (contribution of $100-$249.00) Entire Page = $250 Axel (contribution of $250 or more) Company or Donor Name to appear in Program Contact Person Phone # Email

KICK-OFF CLASSIC SYNCHRONIZED SKATING COMPETITION November 17th 19th, 2017 Kick-Off Classic Buffet 2017 FACILITY POLICY: No outside food or beverage is allowed anywhere in the Wings Event Center. The Wings Event Center is providing a lunch buffet from 11:00am to 2:00pm on Saturday (November 18) only. Hours may be adjusted to complement rink schedules. Please visit the following link for buffet purchases: https://squareup.com/store/wings-event-center $12.50/person Lunch Buffet (includes tax and service charges): Build your own sandwich station: including variety of breads, buns, wraps, deli meats and prepared salads, veggies and cheese as well as condiments Garden salad w/ assorted dressings Caesar salad Soup & Crackers Broccoli Cheddar, Chicken Noodle, or Chili Potato Chips Whole Fruit and Assorted Cookies Lemonade, Hot Chocolate, or Water Any questions pertaining to the lunch buffet may be directed to: Karen Winkle Facilities and Operations Wings Event Center kwinkle@ghgkz.com (269) 226-0382

KICK-OFF CLASSIC SYNCHRONIZED SKATING COMPETITION November 17th 19th, 2017 The following Kalamazoo area hotels are offering a discounted rate for the 2017 Synchronized Skating Kick-Off Classic. Please contact the hotel directly and ask for the event rate. The rates listed below are based on availability and do not include local and state taxes (total of 11%). These rates are valid until September 30, 2017 (or until room block is filled). PROPERTY LOCATION AMENITIES RATE Complimentary Breakfast 1550 E Kilgore Rd Free Wireless Kalamazoo MI 49001 $99.00 Indoor Pool 269.344.7774 Fitness Center Americinn Baymont East Baymont West Candlewood Suites Comfort Inn Country Inn & Suites Days Inn Fairfield Inn Four Points by Marriott Gull Lake View Fairway Villas Radisson Plaza Hotel & Suites Staybridge Suites 3800 E Cork St Kalamazoo MI 49001 269.344.8300 2203 S 11th St Kalamazoo MI 49009 269.372.7999 3443 Retail Place Dr Kalamazoo MI 49048 269.270.3203 739 W Michigan Kalamazoo MI 49007 269.384.2800 1912 E Kilgore Rd Kalamazoo MI 49002 269.382.2303 2615 Airview Blvd Kalamazoo MI 49002 269.903.2433 6420 Cracker Barrel Blvd Kalamazoo MI 49009 269.353.6400 3600 E Cork St Kalamazoo MI 49001 269.385.3922 7417 N 38th St Augusta MI 49012 269.731.5013 100 W Michigan Ave Kalamazoo MI 49007 269.323.3333 2001 Seneca Ln Kalamazoo MI 49009 269.372.8000 Complimentary Breakfast Free Wireless Complimentary Breakfast Free Wireless Fitness Center Free Wireless Complimentary Breakfast Free Wireless Fitness Center Complimentary Breakfast Indoor Pool Fitness Center Complimentary Breakfast Indoor Pool Free Wireless Fitness Center Complimentary Breakfast Free Wireless Indoor Pool Restaurant/Lounge on Site Indoor Pool Fitness Center Restaurant/Lounge on Site Free Wireless Restaurant/Lounge on Site Free Wireless Indoor Pool Fitness Center Complimentary Breakfast Free Wireless Indoor Pool Fitness Center $89.00 - $109.00 $99.00 $109.00 $119.00 $125.00 $69.99 $109.00 $112.00 $150.00 $134.00 $129.95