Book your group rate for Silver Skates Speed Skating

100th ANNUAL CHICAGO SILVER SKATES & Heartland Racing Series Meet #3 Sunday, October 29, 2017 Triphahn Ice Arena, Hoffman Estates Park District 1685 W. Higgins Rd., Hoffman Estates, IL 60169 Rink Ph.: (847) 885-7500 Hosted by Glen Ellyn Speed Skating, Inc. Sanctioned by US Speedskating (USS) & the Amateur Skating Association of Illinois (ASAI) ------------------------------------------------------------------------------------------------------------------------------ Schedule: 6:30am 7:30am Mat Set-up 7:00am 8:00am Check-in 7:30am 8:20am On-ice warm-up for skaters (five 10 min groupings, youngest & most novice first) 8:20am 8:30am Ice resurface and National Anthem 8:30am 3:30pm Races (must be clear of the ice including mats and equipment by 4:00pm) Track & Formats: 111.12 meter ISU track on an 85 wide by 200 long NHL ice surface. The 100th Annual Chicago Silver Skates - will be an ABILITY MEET - all ages, experience and skill levels are welcome. All skaters race in a heat and a final in each of three distances, time permitting. Skaters will be grouped by speed, ability and size to create full heats of competitive races to make the racing fun and beneficial. Skaters will compete in distances that are age and ability appropriate. Organizers reserve the right to refuse any entry and change the program or make/create/combine/change groups, based on the number of skaters and/or time constraints. Heartland Racing Series #3 (HRS) - This series will be run in conjunction with the Silver Skates. In order to qualify to skate in the HRS, a skater must be age 12 or older, and have achieved a 1000m seed time, within the last year, of 1:48 for men, 1:58 for ladies. Skaters race the 500, 1000, and 1500, plus a special distance, time permitting. Other regulations governing HRS participation are contained on the last pages of this registration form and the HRS Facebook page. Please note that the HRS is open to any qualified skater nationwide or from other countries who wish to participate in this series. PLEASE NOTE EMT s will not be on-site at the rink. In the event someone requires medical attention, 911 will be called. A Hoffman Estates Fire Department Paramedic Squad and St. Alexius Medical Center, a Level 2 Illinois trauma center, are both located approximately 1 mile from the rink. Awards: Participant Pins: Questions?: Host hotel: Skaters must race all distances to qualify for an overall award unless injured or ill. Medals for 1 st 3 rd Overall (Longest distance skated will break ties). In honor of the event s 100 th year anniversary, we re-created the original medal design and cast the medals with 1 ounce of 99.9% fine PURE SILVER. All competitors and officials will receive a special commemorative re-creation of the throwback design traditional participant pin in SOLID BRASS for participating in the 100 th running of this event. Contact the Meet Director, Carl Cepuran at (630) 640-4485 or cepuran@aol.com The host hotel is the Chicago Marriott Northwest, 4800 Hoffman Boulevard, Hoffman Estates, IL 60192, for 79.00 USD plus tax per night for a double room or a king/sofa room, for the night of October 28 th. Rooms must be booked by 11:59pm, October 14 th. Call 1-800-228-9290 or 847-645-9500 and ask for the Silver Skates Speed Skating block (#M-A5V41WJ). The link to book online is: Book your group rate for Silver Skates Speed Skating

Registration: Submit the entry form via mail to GESS, PO BOX 445, Glen Ellyn, IL 60138, or, register online via WuFoo (this method preferred) at the following link: https://asai.wufoo.com/forms/2017-silver-skates-and-heartland-3/ Deadline: All entries must be received by 11:59pm (CDT), Thursday, October 26th. Absolutely no day of race entries will be accepted! You can confirm your entry has been received and see who else is registered at the online registration site at this link: https://asai.wufoo.com/reports/100th-silver-skates-skater-list/ Entry Fees: Regular Fee - Heartland and Silver Skates ~ $50.00; Discounted Novice Fee Silver Skates (All skaters age 8 and younger as of 7/1/17, OR, skaters who began speedskating after 7/1/16) - $40.00. Family Cap: $115.00 Make checks payable to Glen Ellyn Speed Skating. Credit cards accepted via online registration. Entries may be capped at 120 due to time constraints so register early! T-Shirts: Event T-shirts are available for pre-order! Go to the Custom Ink website to see pictures of the shirts in all SIX colors and to place your order. Order online, pick up the shirts and pay at the meet. (If you won t be at the meet, we will ship your shirts via USPS at cost and collect payment from you online.) All sizes from Youth X-Small through Adult 4XL available. Colors to choose Antique Royal Blue; Antique Cherry (Norwegian) Red; Antique Irish Green; Dark Heather (Charcoal Gray); (Netherlands) Orange; Daisy Yellow. ONLY BLUE shirts will be available for sale at the meet. ALL OTHER COLORS must be purchased through pre-ordering online through the Custom Ink website. Pre-orders MUST be placed by 11:59pm Central Time, October 11th. Pre-ordered shirts available at a discounted price of $20.00. Regular price = $25.00. Online link for pre-orders - https://www.customink.com/g/pdt0-00b6-7vmw Equipment Swap Fundraiser: Bring equipment you wish to sell. Set it out (or a picture of it) with your name, email and mobile phone number on it for the duration of the meet. Or, if you need equipment, bring cash/checks and your shopping list and check out what is available. 10% of the sales will go to the club. More racing the same weekend! - Great Lakes Short Track and Heartland Racing Series #2: Get two full days of racing in this weekend! There is another competition just an hour north of the Chicago Silver Skates. On Saturday, October 28, 2017, the Great Lakes Short Track and Heartland Racing Series #2 event will take place at the Pettit National Ice Center in Milwaukee. Skate the Great Lakes/Heartland #2, then drive down, stay at the Marriott, and compete Sunday. Questions? Contact Mary Smet of the Wisconsin Speedskating Club. Online link for GLST/HRS#2: https://wisconsinspeed.wufoo.com/forms/mkpi9qx14uh58h/

ENTRY FORM 100th ANNUAL CHICAGO SILVER SKATES MEET and Heartland #3 Return this Entry Form with Seed Times, Entry Fee Payment, and Wavier & Release Form Name Club Association Address City/State/Zip Phone Email USS# (Required) Expiration Date (Required): Male Female Birth Date Age as of 6/30/17 Level - Heartland Class: A Novice ASAI Registered - Yes No (IL only) SEED TIMES ARE REQUIRED Please fill in the seed times; this will make for accurate placement of competitors. 1 st Time Competitors May Submit Seed Times from a Practice Session check with your coach(es). Heartland Racing Series Skaters: 1000m & 500m Event and date skated (1000m time):, All other skaters: Junior C (age 13) and older thru Masters: 1000m & Midget (ages 11 & 12) and Pony (9 & 10): 500m & 500m 333m Pee Wee (ages 7 & 8) and younger: 333m & 111m Submit your entry via regular mail to: GESS, PO BOX 445, Glen Ellyn, IL 60138, or, register online via WuFoo (this method preferred) at the following link: https://asai.wufoo.com/forms/2017-silver-skates-and-heartland-3/ By signing below the participant acknowledges they are responsible for being aware of and complying with all rules, policies, and, codes of conduct that apply to them, including, but not limited to, the USS Code of Conduct, the USS Safe Sport and Participant Welfare Policies. Signature of skater (parent or legal guardian if under 18): Date: Print name of parent or legal guardian: Date:

WAIVER AND RELEASE 100 th Annual Chicago Silver Skates and Heartland Racing Series #3 Meet Triphahn Ice Arena, Hoffman Estates, IL October 29, 2017 The track will be a 111.12 meters ISU track on an 85 wide by 200 long NHL ice surface. PLEASE NOTE EMT s will not be on-site at the rink. In the event someone requires medical attention, 911 will be called. A Hoffman Estates Fire Department Paramedic Squad and St. Alexius Medical Center, a Level 2 Illinois trauma center, are both located approximately 1 mile from the rink. Name: Birth date: Age as of 7/1/2017: NOTE: THIS FORM MUST BE READ AND SIGNED BEFORE THE PARTICIPANT IS PERMITTED TO TAKE PART IN THE EVENT LISTED ABOVE. BY SIGNING THIS AGREEMENT, THE PARTICIPANT AFFIRMS HAVING READ IT. IN CONSIDERATION of my involvement in the sport and activities under the auspices of U.S. Speedskating, the Amateur Skating Association of Illinois, Glen Ellyn Speed Skating, Inc., the Triphahn Ice Arena, the Hoffman Estates Park District and the Heartland Racing Series, I acknowledge, appreciate and agree that: 1. I RISK BODILY INJURY, INCLUDING PARALYSIS, DISMEMBERMENT, DISABILITY AND DEATH, AND while particular rules of my sport, equipment, and personal training and discipline may reduce this risk, THIS RISK OF INJURY DOES EXIST, AS WELL AS THE RISK OF DAMAGE TO OR LOSS OF PROPERTY; 2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS; both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERS; 3. I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual or unnecessary hazard during my presence or participation, I will bring such to the attention of the nearest official; and, 4. I, FOR MYSELF, AND ON BEHALF OF MY HEIRS, ASSIGNS, PERSONAL REPRESENTATIVES, and NEXT OF KIN, HEREBY RELEASE, HOLD HARMLESS, and PROMISE NOT TO SUE U.S. SPEEDSKATING, THE INTERNATIONAL OLYMPIC COMMITTEE, THE UNITED STATES OLYMPIC COMMITTEE, THE INTERNATIONAL SKATING UNION, THE TRIPHAHN ICE ARENA, THE HOFFMAN ESTATES PARK DISTRICT, THE AMATEUR SKATING ASSOCIATION OF ILLINOIS, GLEN ELLYN SPEED SKATING, INC., THE HEARTLAND RACING SERIES, OR OTHER SPONSORING ORGANIZATIONS, THEIR OFFICERS, VOLUNTEERS, STAFF, SPONSORS AND/OR AGENTS, ( RELEASEES ) WITH RESPECT TO ANY AND ALL INJURY AND LOSS ARISING FROM MY PARTICIPATION, WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, EXCEPT THAT WHICH IS THE RESULT OF GROSS NEGLIGENCE OR WANTON MISCONDUCT. I have read this Release of Liability and Waiver Agreement, fully understand its terms and sign it freely and voluntarily. Participant s Signature Participant s Name (Printed) Date FOR PARTICIPANTS OF MINORITY AGE (Under Age 18 at the Time of Registration) This is to certify that I/we as parent(s)/guardian(s) with legal responsibility for this participant, do consent and agree not only to his/her release, but also for myself/ourselves, and my/our heirs, assigns and next of kin to release and indemnify the Releasees from any and all Liability incident to my/our minor child s involvement as stated above. Parent/Legal Guardian Signature Parent/Legal Guardian Name (Printed) Date

Heartland Racing Series (HRS) General Rules 1. Racing shall be governed by ISU and USS racing rules except where noted. 2. Every effort is made to conduct the races on a 30m x 60m rink on a 111.12 ISU track. 3. Races shall be integrated as seamlessly and efficiently as possible within existing competitions, as a competition class within the other classes of the meet. 4. Competitors must be age 12 or older as of 6/30/17. 5. Competitors must have a qualifying time in the 1000m short track distance of: 1:48.00 or lower for males; and, 1:58.00 or lower for females or a samalog of the 500 and 1500 times that is 108.0 or lower for males and 118.0 or lower for females. 6. The qualifying time must have been set after 6/30/16 and before the entry deadline of the meet. 7. The qualifying time must be from a USS sanctioned meet or time trial with a published protocol. 8. The qualifying time must be submitted with the name of the meet it was skated in, the location, and the date skated, and be verifiable. This time will serve as the competitor's seed time and should be their personal best time skated since 6/30/16. 9. As long as competitors meet the age minimum and the qualifying time minimum, and, are current members in good standing of USS or their national federation, they may compete. This means that skaters across the US and Canada, as well as other countries are welcome to compete, as are skaters from any age-class, who meet the age and time minimum standards. 10. In the event there is a question or dispute regarding the rules and entries, eligibility, racing, results, awards, the Meet Director and the Chief Referee, along with the Heartland Series Racing Director shall confer and rule on any questions or disputes, with their decision being final. 11. Format - The basic format will consist of the 500m, 1000m, and 1500m distances being contested at each meet in the series resulting in a final ranking with final points being awarded (see Point Table). Each Meet Host has discretion over how to conduct the qualifying rounds and finals that produce the final ranking in each distance. There is a standard recommended clerking procedure (see Procedures) available for use for the Open Class. In general, the HRS tries to promote development of racing skills and competitiveness, so a format where the winner of each heat qualifies for the highest Final followed by the remaining places to be filled by best times skated in the Heats is recommended to be followed. There will be between 3 and 7 competitions in the Heartland Racing Series. A skater can race in as many or as few as they wish. Their points from up to the 3 highest point meet point totals achieved will be added together to produce their Series ranking by points in each distance, and, in total for all 3 distances in an "All-around" category. Prizes will be awarded for both males and females in each of the 3 single distances and in the All-around total combined for both the most points and the fastest times. Prizes will be awarded for 1st through 3rd places. Other special prizes may be announced and awarded throughout the series for individual age classes and for the exhibition special race categories. (see Schedule) Exhibition race categories: In addition to the common racing distances, each meet in the HRS will offer a choice of racing opportunities that will try to work on special skills (endurance, relays, pursuits, starts, top end speed, teamwork) and introduce some additional fun and variety into the racing. These events may include but are not limited to: 1500m and 3000m superfinals, relays, co-ed relays, club team relays, club team co-ed relays, team pursuits, Australian pursuits, 1/2 lap openers, flying 1 laps, skills, and team championship formats. In addition, there may be awards for team level of participation. These categories will be chosen by the individual meet hosts and announced with the detailed rules in advance of the registration deadline. The exhibition categories are subject to having available ice time and enough participation, and, awards may or may not be given, based on the availability. 12. Conduct of races - Safety, fairness and sportsmanship are part of providing a quality racing and developmental experience and as such are top priorities of the HRS. Every effort will be made to have the best officials conducting the races and enforcing the ISU and USS rules. Short track racing is a dynamic, intense and competitive sport where disqualifications are a part of the game when racers are pushing their speed and skills aggressively to the limit as they should be. However, skaters are warned to refrain from excessively dangerous actions, intentional violations of the rules, and, other acts of unsportsmanlike behavior, including, but not limited to: team skating, race fixing, equipment tampering, threatening or actual harmful behavior, either mental, verbal, or physical. This applies to behavior that is skater to skater, coach to skater, skater to official, coach to official, or, any other combination of persons - parent, spectator, or other. Yellow cards, red cards, and other actions will be utilized by officials if necessary to keep the competitions safe, fair, and sportsmanlike. Additional documents and updated info is found on the HRS Facebook page at: https://www.facebook.com/heartlandracing

ASAI and WSA ATHLETE TRAINING AND COMPETITION ENVIRONMENT RULES The ASAI and the WSA want to create the safest possible environment for training and competition, and, develop self-sufficient, independent athletes. The goal is two-fold: 1) To create and maintain a safe and healthy environment where sexual, physical, emotional or other types of abuse, in any form, including intimidation, bullying or harassment is not tolerated, especially by an adult towards a minor child, and also by an adult towards an adult, by a minor child towards a minor child, or, minor child toward adult; and, 2) To create and maintain an atmosphere of sportsmanship, respect, and support where competitors and other participants strive together in a constructive way to reach their full potential, and derive the maximum enjoyment and benefits of sport. Therefore, the following new rules will be implemented for the 2017-18 season: 1) The field of play plus areas specifically designated for use by athletes, coaches and officials including the coaches boxes, heat box, equipment changing and storage areas, and dressing areas both in the arena and locker rooms will be restricted to only those athletes, parents of competing athletes, USS credentialed coaches, officials and venue staff who are registered and actively participating in the event and have the proper authorization/credentials; and, 2) All other persons, including spectators, fans, vendors, and all other unauthorized persons shall be limited to the designated spectator areas such as the public lobby, public restrooms, concessions/food services, and, the seating/viewing/bleacher/grandstand areas. It is recommended that for athletes over age 12, and for those even younger who have the experience, maturity, and, self-sufficiency, that parents give them room to experience the sport and cultivate their independence which will increase their enjoyment and make them better athletes in the long run. PLEASE NOTE the heatbox is restricted to athletes, officials and coaches no parents, regardless of your athlete s age. (If your athlete has special needs that require special assistance by someone other than their coach, you may request authorization from the chief referee and meet director for someone to be present in the heatbox to assist them.) In the event of non-compliance with these preceding guidelines, or, any applicable criminal or civil laws, or, any of the following documents in force governing the sport including but not limited to: The ISU Code of Ethics (2012- Communication 1717); The Safe Sport Code for US Olympic and Para-Olympic Sports; The Safe Sport Practices and Procedures; The USS Code of Conduct; The USS Participant Welfare Policy; The USS Code of Ethics; The USOC Coaching Code of Ethics; and any other local facility, association or club codes, policies, and rules - Officials, sanctioning bodies, organizers, hosts, and facilities may initiate disciplinary actions that include one or more of the following: a verbal warning; removal from the facility for the remainder of the practice or event; written incident report submitted to governing organizations, facility management, and, official reporting agents; prohibition from attending future events involving the facility or speedskating; prohibition from contact with certain persons; referral to the appropriate authorities including law enforcement officers for further disciplinary action or prosecution. (9/1/17)