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BRITISH FIGURE AND SYNCHRO CHAMPIONSHIPS 2011

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					National Ice Skating Association of UK Ltd




BRITISH FIGURE
AND SYNCHRO
CHAMPIONSHIPS
2011/2012
FOR ADVANCED NOVICE, JUNIOR
AND SENIOR (and ADULT
SYNCHRO) SKATERS

ANNOUNCEMENT AND ENTRY FORMS


NOVEMBER 21st to 27th 2011
Ice Sheffield
                   BRITISH CHAMPIONSHIPS NOVEMBER 21st TO 27th 2011
                                 CLOSING DATE OCTOBER 11TH 2011 at 5pm


                                          ENTRY REQUIREMENTS
Important Note
    The following requirements do not fully replicate the ISU requirements for skaters wishing to represent Great
    Britain Internationally. Additional criteria apply - please refer to ISU General Regulations 2010 and ISU
    Communication 1420 and any subsequent ISU Communications
    For legal ruling regarding British Residency and Citizenship skaters should contact the Home Office or if
    abroad the relevant British Consulate.

   Skaters must meet the following requirements:
    NISA eligible (Full or Retained) members

      Skaters who are British citizens OR skaters who have legally resided in Great Britain or Northern
       Ireland for at least one year, but are citizens of another country.

      In the Pairs and Dance events, one partner of the Pair or Dance couple must be a British citizen. The
       other partner of the Pair or Dance couple may be a citizen or resident of another country. In
       Synchronised skating teams, 75% of the team must be either British Citizens or have resided in GB
       or Northern Ireland for at least 1 year but are citizens of another country. 25% of the team may be
       citizens or residents of another country.

      Age qualified:
          o Advanced Novice Singles - Must not have reached 15 years before 1st July 2011
          o Junior Singles - Must not have reached 19 years before 1st July 2011
          o No age restrictions for Senior Singles and all Pairs and Dance events.
          o Advanced Novice Synchro: Must have reached 10yrs but not 15yrs before 1st July 2011
          o Junior Synchro: Must have reached 12yrs but not 19yrs before 1st July 2011
          o Senior Synchro: Must have reached 14yrs before 1st July 2011 (no upper limit)
          o Adult Synchro: Must have reached 18 yrs with 50% over 25 yrs by 1st July 2011


      Must hold NISA tests at the appropriate level as listed below by closing date for the British
       Championships, 11th October 2011 at 5pm.

       Singles and Pairs

       Advanced Novice Advanced Novice Competitive Short and Free Tests and Level 8 Field Moves
       Junior          Junior Competitive Short and Free Tests and Level 9 Field Moves
       Senior          Senior Competitive Short and Free Tests and Level 10 Field Moves

       Dance

       A Novice Advanced Novice Competitive Pattern Dance and Free Dance and Level 8 Field Moves
       Junior   Junior Competitive Short Dance and Free Dance (or previous Junior Compulsory Dance,
                Original Dance and Free Dance) and Level 9 Field Moves
       Senior   Senior Competitive Short Dance and Free Dance (or previous Senior Compulsory Dance,
                Original Dance and Free Dance) and Level 10 Field Moves
       Synchro
                                       25%                      50%                     25%

       Advanced Novice                Min L1              MinL3                       Min L5
       Junior                         Min L2              Min L4                      Min L6
       Senior                         Min L3              Min L5                      Min L7
       Adult                          No minimum or maximum standard
                  BRITISH CHAMPIONSHIPS NOVEMBER 21st TO 27th 2011
                                CLOSING DATE OCTOBER 11TH 2011 at 5pm


TEAM SIZES
(Up to 4 Alternates are allowed for each team in any category)

        o   Advanced Novice          A team of 12-16 skaters
        o   Junior                   A team of 16 skaters
                                    (May skate 14 in exceptional circumstances (ISU Special Regs 2010)
        o   Senior                   A team of 16 skaters
                                    (May skate 14 in exceptional circumstances (ISU Special Regs2010)
        o   Adult                    A team of 8 to 16 skaters.


CROSS OVERS

 No more than 50% of any team may cross over to a second team at this event.
 The numbers should be based on the smaller team. ie if there are 12 skaters in a Novice team and
 16 skaters in a Junior team, no more than 6 skaters may cross-over and skate in both teams.


                      APPLICATION TO COMPETE IN THE BRITISH CHAMPIONSHIP
                                                                             th
All skaters will be required to submit a fully completed application form by 11 October 2011 to compete in the
British Championships There will be no automatic entry for previous champions at the same level or champions
from the level immediately below.

Single skaters who qualify for more than one singles event e.g. Novice and Junior, may only choose to compete
in one singles Championship event. This does not preclude a single skater from competing in their singles
event and also pairs and/or dance and/or Synchro if qualified to do so.

Skaters/teams, who obtain a place in the first three in a Junior or Senior Championships, may not revert back to
the Novice or Junior Championships respectively but may compete again at the same level subject to meeting all
other requirements. Synchro teams, as qualified by age and standard, may enter more than one level of a
Championship using a different programme with a minimum change of 50% of the skaters.




                                                                                                               1
                                 BRITISH CHAMPIONSHIPS 2011/12
                         IN FIGURE SKATING AND SYNCHRONISED SKATING

                      PLEASE READ BEFORE COMPLETING THE ATTACHED ENTRY FORM
Application for the British Championships must be made to the NISA Office by the closing date for the event,
11th October 2011 at 5pm.
NISA licensed coaches wishing to enter skaters for this event must have attended a discipline specific IJS seminar
within 12 months of the event and a field moves seminar. If the coach named on the application form has not done
so, the skater will be given the opportunity to name another coach or remove the coach’s name from their entry.

Note: only ONE coach per singles skater and TWO coaches per pair & dance couple and 1 Coach and 1 team
Manager per synchro team will be allocated accreditation to ice-level. Please indicate which coach(es)
require accreditation if naming more than this number, or NISA will select. Additional chaperone
accreditation will be given to synchro teams.
A programme element sheet is required for all skaters/teams entering the event for all programmes. Please complete this
(elements and timings) even if the elements and order are subject to change.
Entries will not be accepted for the Championship without this, resulting in the application form being returned to the
skater/team manager without it being registered for the event.
All skaters must hold the required entry standard and be a paid up NISA member AT CLOSING DATE. If Membership
is out of date the entry form will be rejected.
NISA will acknowledge receipt of a correctly and fully completed entry form by sending an e-mail to the skater/team manager
giving a receipt of entry number. This number should be kept and used in any further correspondence with NISA regarding the
entry to this event only. Skaters/teams who do not receive a receipt number should query this BEFORE 5pm on the closing
date.
As this event is a Championship event, it is hoped that all skaters will skate both short programme/short dance and free
programme/free dance. However, this may restrict practice ice, depending on numbers.

                                                  ENTRY FEES 2011/2012
Advanced Novice, Junior and Senior Single Skaters              £67.00*
Advanced Novice, Junior and Senior Dance per couple            £94*
Advanced Novice, Junior and Senior Pairs per couple            £94*
Synchronized Teams per Team                                    £380*
*Please note that entry fees are non-refundable
Entries should be submitted by one of the following methods:

     MAIL TO
    NISA Events Administrator
    Grains Building
    High Cross Street
    Nottingham
    NG1 3AX

        FAX TO: 0115 988 8061
        E MAIL TO: eventsadmin@iceskating.org.uk

CLOSING DATE FOR ENTRIES IS STRICTLY 11TH OCTOBER AT 5PM.
NO LATE ENTRIES WILL BE ACCEPTED
                                                                                                                           2
                                       National Ice Skating Association of UK Ltd, Grains Building,
                                                 High Cross Street, Nottingham, NG1 3AX
                            Telephone: 0115 9888060 Fax: 0115 9888061 E-mail: eventsadmin@iceskating.org.uk
                                                     Website: www.iceskating.org.uk

                                                        BRITISH CHAMPIONSHIPS 2011/2012
                                 OFFICIAL ENTRY FORM – Singles, Pairs and Dance
                                                                     NOVEMBER 21st TO 27th 2011
                                                                Please tick                                                                                        Please tick
   ADVANCED NOVICE MEN                                                                             ADVANCED NOVICE LADIES
        JUNIOR MEN                                                                                     JUNIOR LADIES
        SENIOR MEN                                                                                     SENIOR LADIES
  ADVANCED NOVICE PAIRS                                                                            ADVANCED NOVICE DANCE
       JUNIOR PAIRS                                                                                    JUNIOR DANCE
       SENIOR PAIRS                                                                                    SENIOR DANCE
                             DETAILS OF MAN                                                                                     DETAILS OF LADY
Full Name:                                                                                        Full Name:


Current Mailing Address:                                                                          Current Mailing Address:




Email address:                                                                                    Email address:


Information will be emailed unless this box is ticked                                             Information will be emailed unless this box is ticked
Membership Number:                              Date of Birth:                                    Membership Number:                                 Date of Birth:

Telephone: (Daytime)                            Telephone: (Evening)                              Telephone: (Daytime)                               Telephone: (Evening)

Licensed Coach Name                             Licensed         Coach        Membership          Licensed Coach Name                                Licensed Coach Membership
                                                Number                                                                                               Number

FIELD MOVES SEMINAR ATTENDED BY COACH                                                             IJS SEMINAR ATTENDED BY COACH
VENUE:                                                                                            VENUE;

DATE:                                                                                             DATE:
 NOTE HERE PRIORITY OF COACH ACCREDITATION
 IMPORTANT: THIS MUST BE SIGNED BE EITHER SKATERS OR PARENT/GAURDIAN:
 I / We understand and accept that anti-doping testing may take place during this event. I / We will make ourselves available at the time and place advised, if selected.
 IMPORTANT IF UNDER 18 YEARS OF AGE: I, the parent / guardian of the above skater/s, who is / are under 18 years of age, agree to give the NISA and the appointed officials working on
 its behalf, my permission to test the skater(s) entered in the above competition if so selected. (If more than one skater then the form must be signed by each skater’s parent / guardian)
 I have read and agree to abide by the rules of the event and to observe the rules and directions of the NISA of UK Ltd at all times. I confirm that I am in good health and have no medical
 condition that would impede my ability to compete or be detrimental to any other competitor’s ability to compete or cause harm whatsoever to any person. I understand that I participate in NISA
 sanctioned National Events at my own risk and that no liability is accepted by the Organisers and or the Association for any death, injury, damage or loss sustained by me during this event
 except as may be proven to be caused by the negligence of the Association. I further confirm that should any loss, injury, death or damage resulting from a negligent act or omission on my part
 as a result of any false information provided by me to the Association and / or the Organisers, then I shall fully indemnify the Association for any loss suffered as a result.
 I DECLARE THAT I AM AN ELIGIBLE/RETAINED ELIGIBLE SKATER (DELETE AS APPROPRIATE)
  Signature of Parent:                                                    Date:                   Signature of Parent:                                                 Date:


  Signature of Skater:                                                    Date:                   Signature of Skater:                                                 Date:



                                                                                                              th
                                               CLOSING DATE FOR THIS EVENT IS 11 October 2011 at 5pm
                                               LATE AND INCOMPLETE ENTRIES WILL NOT BE ACCEPTED
 PAYMENT DETAILS
 CHEQUE / DEBIT CARD / CREDIT CARD (PLEASE CIRCLE)                                          NAME………………………………………………………………

 CARD NUMBER…………………………………………………..                                                            ISSUE NUMBER………………………………………………….

 SECURITY NUMBER (LAST 3 DIGITS ON BACK OF CARD)………………………………………..

 START DATE……………………………………………………….                                                            EXPIRY DATE…………………………………………………….

                                  PLEASE NOTE THAT CREDIT/DEBIT CARD PAYMENTS ARE SUBJECT TO A 5% ADMINISTRATION CHARGE
                                                     CHEQUES SHOULD BE MADE PAYABLE TO NISA UK LTD

       NB: IF ENTERING TWO EVENTS PLEASE COMPLETE TWO SEPERATE ENTRY FORMS AND PROGRAMME ELEMENT SHEETS


                                                                                                                                                                                              3
                           CITIZENSHIP / RESIDENCY

IMPORTANT NOTE

The following requirements do not fully replicate the ISU requirements for skaters
wishing to represent Great Britain Internationally. Additional criteria apply –
please refer to the ISU General Regulations 2010 and ISU Communication 1420.
For legal ruling regarding British Residency and Citizenship, skaters should
contact the Home Office or if abroad, the relevant British Consulate.

Singles/Pairs/Dance entries only (Synchro use separate sheet)

Please tick ONE of the following boxes:

  √                                            NAME OF SKATER      SIGNATURE
                                                                  (Parent if U18)

        BRITISH CITIZEN (S)

        I hold / am entitled to hold a valid
        and up to date British Passport

        Passport Number……………….
        Place passport issued………….

        Passport Number……………….
        Place passport issued………….


        RESIDENT (S)

        I am a citizen of another Country
        but have legally resided in Great
        Britain or Northern Ireland for at
        least 1 year.


        NON UK RESIDENT
        (APPLICABLE ONLY TO 2ND
        PARTNER IN PAIRS AND
        DANCE)
        I do not hold a British Passport,
        and am not resident within Great
        Britain or Northern Ireland.

                                                                                     4
                                           Entry Qualification
                                         Singles, Pairs & Dance


 DO NOT CONVERT EQUIVALENCIES FROM COMPETITIVE TESTS TO NATIONAL LEVELS, but if
 field move equivalency as at 1st January 2007 was gained from National tests rather than Competitive
 tests please ensure the National tests are also listed.

 Singles:
 Please complete chart below listing Field Moves and Competitive tests if held. Otherwise complete Field
 Moves and National test passes.
                       DETAILS OF MAN                                        DETAILS OF LADY

                        Highest Level   Date Passed                           Highest Level    Date Passed

Field Moves                                           Field Moves

                                                      Competitive short or
Competitive short or
                                                      National Elements
National Elements
                                                      Competitive Free or
Competitive Free
                                                      National Free
or National Free


 Dance:
 Please complete chart below listing Field/Dance Moves and Competitive tests if held.            Otherwise
 complete Field/Dance Moves and National test passes.
                       DETAILS OF MAN                                        DETAILS OF LADY

                        Highest Level   Date Passed                           Highest Level    Date Passed

Dance/Field Moves                                     Dance/Field Moves

                                                      Competitive C.D
Competitive C.D
                                                      or National C.D
or National C.D
Competitive O.D or                                    Competitive O.D or
SD or National O.D                                    SD or National O.D

Competitive F.D                                       Competitive F.D
or National F.D                                       or National F.D



 Pairs:
 Please complete chart below listing Field moves and Pair tests. Please also complete sections showing
 Singles tests passed.
                       DETAILS OF MAN                                        DETAILS OF LADY

                        Highest Level   Date Passed                           Highest Level    Date Passed
Field Moves                                           Field Moves
NISA National Pairs                                   NISA National Pairs
Tests                                                 Tests
Pair                                                  Pair
Competitive Short                                     Competitive Short
Pair                                                  Pair
Competitive Free                                      Competitive Free
Single                                                Single
Competitive Short or                                  Competitive Short or
National Elements                                     National Elements
Single                                                Single
Competitive Free or                                   Competitive Free or
National Free                                         National Free



                                                                                                         5
                                           National Ice Skating Association of UK
                                           Media Information: Skaters Biographies

                           DETAILS OF MAN                                                 DETAILS OF LADY
Name:                                                           Name:


Event:                                                          Event:


Country of Birth:                                               Country of Birth:


Citizenship:                                                    Citizenship:


Date of Birth:                                                  Date of Birth:


Height & Weight (M / KG):                                       Height & Weight (M / KG):


Occupation:                                                     Occupation:


First started skating: (age)                                    First started skating: (age)


Home Club / Rink:                                               Home Club / Rink:


Hobbies and Interests:                                          Hobbies and Interests:



Training programme in hours: (on ice / off ice)                 Training programme in hours: (on ice / off ice)



Music SP / SD Programme:                                        Music SP / SD Programme:



Music FP / FD Programme:                                        Music FP / FD Programme:



                                                         Coach details
Licensed Coach :                                                Licensed Coach :


Licensed Coach Membership Number:                               Licensed Coach Membership Number:


Date/Venue IJS Seminar attended:                                Date/Venue IJS Seminar attended:


Date/Venue Field Moves Seminar attended:                        Date/Venue Field Moves Seminar attended:


Choreographer:                                                  Choreographer:


Signature of licenced Coach:                                    Signature of licenced Coach:




Name of local newspaper:_________________________________ Contact Name:________________________________________

Telephone Number:______________________________________________FaxNumber:_________________________________________

Address:_____________________________________________________________________________________________________




                                                                                                                     6
                                                  National Ice Skating Association of UK
                                                   Music Information ALL Disciplines


    All music must be on CD with the skater’s name, event and the length of the music (not the
                   skating time) clearly indicated. Tapes will not be accepted.
           MUSIC DETAILS
           (Please fill in carefully as this information is required for entry)

           Short Programme / Short Dance                                          Composer(s):
           Music Title:



                                                                                  Time: (Mins / Secs)


           Free Programme/ Free Dance                                             Composer(s):
           Music Title:



                                                                                  Time: (Mins / Secs)




Interpretation details on Short Programme / Short Dance: i.e. Tell us what piece of music you have chosen,
where did the music come from, if it is from a soundtrack, where the section of music is taken from in relation to the soundtrack,
and what you are interpreting on the ice, including background information regarding the piece of music selected.




Interpretation details on the Free Programme / Free Dance: i.e. Tell us what piece of music you have
selected, where it came from, if it is a soundtrack, where the section of music is taken from in relation to the soundtrack, and
what you are interpreting on the ice, including background information regarding the piece of music selected.




                                                                                                                                7
                                                   ANTI-DOPING
         PARENT/GUARDIAN CONSENT FORM FOR SKATERS UNDER THE AGE OF 18
                       Please read the following very carefully
         Eligibility of Skaters for Anti-Doping Tests

         It is the Association’s policy that no skater under the age of 18 years at the time of anti-doping may be
         tested without written parental or guardian consent except those skaters under 18 who are currently
         members of, or who have been members of Team Skate GB (formerly UK Regional, National or
         International Squad.) It is a condition of eligibility for Team Skate GB membership that skaters under 18
         years of age provide written parental or guardian consent to anti-doping testing both in and out-of-
         competition. For all skaters over 18 years of age, it is a condition of entry to all events and competitions
         sanctioned by NISA permit, that they are willing to participate in anti-doping testing at that event.

         Anti-Doping Testing Programme - NISA Policy

         The Association has determined that anti-doping testing may be carried out at any of the following:

         Competition Testing:      International events held in the UK
                                   UK Championships
                                   Regional Championships (England/Scotland/Wales/N Ireland)
                                   National Competitions
         Squad Testing:            Team Skate GB
         Out-of-Comp Testing:      Team Skate GB
         (Including camps)
         Disciplines:              Figure
                                   Dance
                                   Synchronized
                                   Short Track Speed
         Genders:                  Male/Female
         Age:                      Not under 18 without written parental/guardian consent except
                                   current / past members of Team Skate GB who may be tested.

I have read, understand and agree to the above conditions.

Signed……………………………………………………Parent/Guardian                                    Date …………………………….

                                    PHOTOGRAPHY and VIDEOING
                                         CONSENT FORM
      IMPORTANT                  By entering the event, there is an acceptance that the child/participant
                                  may be photographed, unless the photography consent form states
                                  otherwise, and images may be published by the National Ice Skating
                                  Association.

NAME:

EVENT: BRITISH CHAMPIONSHIPS 2011/2012

         I DO consent to the taking of photographs by the NISA Official Photographer
          at the event named above
         I DO NOT consent to the taking of photographs by the NISA Official
          Photographer at the event named above
      NB There is no option to opt out of the video recorded for use by the technical panels/judges



     Signed (Parent/Guardian):            ……………………………………………                               Date:     ……………
                                                                                                                        8
BRITISH CHAMPIONSHIPS 2011/2012

Program Content – Singles, Pairs & Dance
THIS FORM MUST BE RETURNED NO LATER THAN 11TH OCTOBER 2011, 5PM
Please fill in with type or write in capital letters. PLEASE USE THE OFFICIAL ELEMENT CODES. If not
completed correctly the entire entry form will be returned without being registered and NOT ACCEPTED.
                            For pairs and dance couples it is sufficient if one partner fills in the following form
Rink / Club:
Category:         Men       Ladies      Pairs       Ice Dancing        Advanced Novice          Junior      Senior

Competitor(s):

                                                ELEMENTS IN ORDER OF SKATING
      Time*                 Elements SP / SD                                 Time*                       Elements FS / FD
                                                                        1
1
                                                                        2

                                                                        3
2
                                                                        4

                                                                        5
3
                                                                        6


                                                                        7
4
                                                                        8


                                                                        9
5
                                                                       10

                                                                       11
6
                                                                       12

                                                                       13
7
                                                                       14

                                                                       15
8
                                                                       16

    * Time during program
     Date, Signature:



                                        Please post to: National Ice Skating Association of UK
                                                        Grains Building
                                                        High Cross Street
                                                        Nottingham
                                                        NG1 3AX
                                                        Fax: 0115 9888061
                                                        E Mail: eventsadmin@iceskating.org.uk

        PLEASE NOTE: INCOMPLETE ENTRY FORMS WILL BE RETURNED AND THE WHOLE ENTRY FORM WILL BE
                      REJECTED WITHOUT THE SKATER BEING REGISTERED FOR THE EVENT.
                                                                                                                            9
                                                                      BRITISH CHAMPIONSHIPS 2011/2012
                                                        OFFICIAL ENTRY FORM – Synchronized Skating
                                                                                                        Please tick
                                                                          ADVANCED NOVICE
                                                                              JUNIOR
                                                                              SENIOR
                                                                               ADULT

Please enter Synchro team members in alphabetical order followed by alternates. It is essential that details of each skater’s test passes, DOB etc. are given below.
Please indicate team captain with an asterisk.*
      SKATER’S NAME                NISA No       Date of Birth    Age     Field Move Test Held   BRITISH    BRITISH         NON                IF BRITISH CITIZEN
                                  (Valid until   (dd/mm/yyyy)    Before     (by 11th Oct 2011)   CITIZEN   RESIDENT      RESIDENT
                                   27/11/11)                     1 July                             (√)        (√)           (√)
                                                                  2011                             see      see page      see page       PASSPORT            PLACE OF ISSUE
                                                                                                  page 3        3             3           NUMBER

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16.
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20.
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                                                   ONLY SKATERS WHOSE NAMES ARE LISTED ABOVE WILL BE ALLOWED TO SKATE

I confirm that all skaters are Eligible/Retained Eligible and, if retained Eligible, have submitted the appropriate Elig 4 forms to NISA.(see note page 1)
                           LICENSED COACH NAME                                 LICENSED COACH SIGNATURE                 Date:




                                                                                                                                                                              10
                              National Ice Skating Association of UK Ltd,
                        Grains Building, High Cross Street, Nottingham, NG1 3AX
            Telephone: 0115 9888060 Fax: 0115 9888061 email: eventsadmin@iceskating.org.uk
                                    Website: www.iceskating.org.uk

                                     SYNCHRO DECLARATION FORM
                                   BRITISH CHAMPIONSHIPS 2011/2012
                                  SHEFFIELD – NOVEMBER 21st TO 27th 2011


DECLARATION: This declaration must be signed by either the Skater if 18 years or over or a Parent / Guardian if Skater is under 18
years and returned with the Official Entry Form by the closing date of 11th October 2011.

I understand and accept that anti-doping testing may take place during this event. I will make myself available at the time and place
advised, if selected. I also give permission for the official Photographer to take photographs /video and understand that no other
person should do this.

IMPORTANT IF UNDER 18 YEARS OF AGE: I, the parent / guardian of the above skater, who is under 18 years of age, agree to give
the NISA and the appointed officials working on its behalf, my permission to test the skater entered in the above competition if so
selected.
I have read and agree to abide by the rules of the event and to observe the rules and directions of the NISA of UK Ltd at all times. I
confirm that I am in good health and have no medical condition that would impede my ability to compete or be detrimental to any other
competitor’s ability to compete or cause harm whatsoever to any person. I understand that I participate in NISA sanctioned National
Events at my own risk and that no liability is accepted by the Organisers and or the Association for any death, injury, damage or loss
sustained by me during this event except as may be proven to be caused by the negligence of the Association. I further confirm that
should any loss, injury, death or damage resulting from a negligent act or omission on my part as a result of any false information
provided by me to the Association and / or the Organisers, and then I shall fully indemnify the Association for any loss suffered as a
result.
SIGNATURES MUST CORRESPOND TO THE SKATERS’ NUMBERS AS DETAILED ON PREVIOUS PAGE.

1.        Parent Signature: ………………………………………… Skater Signature: …………………………….
2.        Parent Signature: …………………………………………. Skater Signature: ……………………………..
3.        Parent Signature: ……………………………………………Skater Signature: …………………………….
4.        Parent Signature: ……………………………………………Skater Signature: …………………………….
5.        Parent Signature: ……………………………………………Skater Signature: …………………………….
6.        Parent Signature: ……………………………………………Skater Signature: …………………………….
7.        Parent Signature: ……………………………………………Skater Signature: …………………………….
8.        Parent Signature: ……………………………………………Skater Signature: …………………………….
9.        Parent Signature: ……………………………………………Skater Signature: …………………………….
10.       Parent Signature: ……………………………………………Skater Signature: …………………………….
11.       Parent Signature: ……………………………………………Skater Signature: …………………………….
12.       Parent Signature: ……………………………………………Skater Signature: …………………………….
13.       Parent Signature: ……………………………………………Skater Signature: …………………………….
14.       Parent Signature: ……………………………………………Skater Signature: …………………………….
15.       Parent Signature: ……………………………………………Skater Signature: …………………………….
16.       Parent Signature: ……………………………………………Skater Signature: …………………………….
17.       Parent Signature: ……………………………………………Skater Signature: …………………………….
18.       Parent Signature: ……………………………………………Skater Signature: …………………………….
19.       Parent Signature: ……………………………………………Skater Signature: …………………………….
20.       Parent Signature: ……………………………………………Skater Signature: …………………………….
21.       Parent Signature: ……………………………………………Skater Signature: …………………………….
22.       Parent Signature: ……………………………………………Skater Signature: …………………………….
23.       Parent Signature: ……………………………………………Skater Signature: …………………………….
24.       Parent Signature: ……………………………………………Skater Signature: …………………………….
The Entry Form cannot be accepted unless accompanied by this form, which should contain the appropriate number of signatures to
match the entrants.
Signed: ……………………………………………………………. Position in Club: ………………………………………….. Date: ………………

                                                                                                                                     11

August 2011
BRITISH CHAMPIONSHIPS 2011/2012

Program Content (SYNCHRO)
THIS FORM MUST BE RETURNED NO LATER THAN 11TH OCTOBER 2011, 5PM
Please fill in the elements sheet below in the correct order. PLEASE USE THE OFFICIAL ELEMENT
CODES. If not completed correctly the entire entry form will be returned without being registered and NOT
ACCEPTED.
                                                    * Time during program
Rink / Club:
Category:          Advanced Novice     Junior        Senior

TEAM:
                                         ELEMENTS IN ORDER OF SKATING
     Time                   Elements SP                            Time*      Elements FS
       *             (Junior & Senior Teams only)
                                                               1
 1
                                                               2

                                                               3
 2
                                                               4

                                                               5
 3
                                                               6

                                                               7
 4
                                                               8


                                                               9
 5
                                                              10


                                                              11
 6
                                                              12


                                                              13
 7
                                                              14


                                                              15
 8
                                                              16


                                                              17
 9
                                                              18


                                                              19
10
                                                              20



Date, Signature Team Coach :
                                                                                                 12

     August 2011
FOR ALL ENTRIES FOR THE CHAMPIONSHIPS

              Please post to:   National Ice Skating Association of UK
                                Grains Building
                                High Cross Street
                                Nottingham
                                NG1 3AX OR
                                Fax: 0115   9888061   OR

                                E Mail: eventsadmin@iceskating.org.uk

BY 5PM ON 11TH October.

PLEASE NOTE: INCOMPLETE ENTRY FORMS WILL BE RETURNED AND THE WHOLE ENTRY FORM WILL BE
REJECTED WITHOUT THE SKATER or TEAM BEING REGISTERED FOR THE EVENT.




                                                                                        13

August 2011

				
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