Figure Skating Entry Form by Yearoveryear

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									Special Olympics North Carolina
2009 Winter Games Figure Skating Entry Form
Local Program:                                                  # Athletes:                          # Coaches:

Head Coach:                                                     Email:
(or primary contact)

Primary Phone:                                                  Secondary Phone:
(mobile phone preferred - where you can be reached on event date)
 Level 3 Skater: Please remember a skater cannot do half jumps (with exception of a waltz jump) in their routine.
                                  Half jumps are not allowed until Level 4.
           Compulsory Dances: Specific dance information will be provided once available from SOI.


Name:                                             Consideration:*         H   V    W   Age **              Gender:       F   M

       Singles                                    Pairs                                          Ice Dancing
     Level 1      Level 4                    Traditional        Unified                          Traditional             Unified

     Level 2      Level 5                    Level 1            Level 2                Level 1   Level 2       Level 3   Level 4
     Level 3      Level 6
                            Partner:                                               Partner:


Name:                                             Consideration:*         H   V    W   Age **              Gender:       F   M

       Singles                                    Pairs                                          Ice Dancing
     Level 1      Level 4                    Traditional        Unified                          Traditional             Unified

     Level 2      Level 5                    Level 1            Level 2                Level 1   Level 2       Level 3   Level 4
     Level 3      Level 6
                            Partner:                                               Partner:


Name:                                             Consideration:*         H   V    W   Age **              Gender:       F   M

       Singles                                    Pairs                                          Ice Dancing
     Level 1      Level 4                    Traditional        Unified                          Traditional             Unified

     Level 2      Level 5                    Level 1            Level 2                Level 1   Level 2       Level 3   Level 4
     Level 3      Level 6
                            Partner:                                               Partner:


Name:                                             Consideration:*         H   V    W   Age **              Gender:       F   M

       Singles                                    Pairs                                          Ice Dancing
     Level 1      Level 4                    Traditional        Unified                          Traditional             Unified

     Level 2      Level 5                    Level 1            Level 2                Level 1   Level 2       Level 3   Level 4
     Level 3      Level 6
                            Partner:                                               Partner:


Name:                                             Consideration:*         H   V    W   Age **              Gender:       F   M

       Singles                                    Pairs                                          Ice Dancing
     Level 1      Level 4                    Traditional        Unified                          Traditional             Unified

     Level 2      Level 5                    Level 1            Level 2                Level 1   Level 2       Level 3   Level 4
     Level 3      Level 6
                            Partner:                                               Partner:


                       Submit this form to the appropriate area director by December 16, 2008.
                                            Photocopy this form as needed.
                          * Consideration: H - Hearing Impairment V - Visual Impairment W - Wheelchair
                                     ** Age the athlete will be on January 9, 2009.

								
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