US Figure Skating by ps94506


									 2011 PACIFIC COAST ADULT

 SoBe Ice Arena @ Fiesta Rancho
       Las Vegas, Nevada

            Hosted by
  Las Vegas Figure Skating Club
        Feb. 25-27, 2011

 U.S. Figure Skating
2011 Adult Sectional Figure Skating Championships                                    Page 1 of 20

                                                     Competition Season
The 2011 U.S. Figure Skating Adult qualifying competition season consists of four events, including three
qualifying events (adult sectional championships – Eastern, Midwestern, and Pacific Coast) and the 2011 U.S.
Adult Figure Skating Championships. All four events are sanctioned by U.S. Figure Skating and conducted
according to the most current U.S. Figure Skating Rulebook (2010-2011 Edition) with changes and clarifications as
posted on the U.S. Figure Skating web site and this announcement. Compliance with these rules as updated or
amended is the responsibility of the participants. U.S. Figure Skating reserves the right to incorporate revisions to
the International Judging System (IJS) made by the ISU.

The U.S. Adult Sectional Championships and U.S. Adult Figure Skating Championship events are open only to
current members of U.S. Figure Skating who meet the eligibility requirements according to U.S. Figure Skating
Rule 3035, all age and test requirements pertaining to the event you are entering, and the citizen and residency
requirements as stated in Rule 3065.

Non-U.S. citizens who have already received a letter of permission from the Chair of the Competitions Committee
and were accepted to compete in the U.S. Figure Skating qualifying system are eligible to register. All other non-
U.S. citizens seeking eligibility must meet the requirements set forth in Rule 3065 and rule 3051B.

Important Notice for all Coaches
NEW REQUIREMENT: To coach at a U.S. Figure Skating qualifying level competition, a professional coach or
choreographer must be listed as Coaches Education Requirement (CER) Category A compliant. See the PSA
website for CER categories and a list of compliant coaches.
All coaches must comply with the coaches’ registration policy in order to be allowed to instruct/coach at all
qualifying competitions. Coaches will need to check in at the event registration desk and show a government issued
photo I.D. to receive a credential. Each local organizing committee (LOC) will be provided with a list of coaches
who are cleared for a credential at the competition. For coaches who are NOT on the list, the LOC will ask to see
proof of membership in both U.S. Figure Skating and the PSA, a Coaches Registration card, proof of Category A
compliance in CER, and a photo ID 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.

For the 2011 competition season, the three qualifying events (sectional championships) will be held at the following
        Eastern         Pittsburgh Figure Skating Club- Pittsburgh, Pa. (Feb. 25-27, 2011)
        Midwest         Skate Company Skating Club – Dearborn, Mich. (Feb. 25-27, 2011)
        Pacific Coast   Las Vegas FSC– Las Vegas, Nev. (Feb. 25-27, 2011)

The U.S. Adult Figure Skating Championships will be organized for all qualifiers in:
                               2011 U.S. Adult Figure Skating Championships
                                            April 12 - 16, 2011
                                           Salt Lake City, Utah
2011 Adult Sectional Figure Skating Championships                                    Page 2 of 20
The Adult Sectional Championships consist of the following Championship Events: Championship intermediate-
novice free skate, Championship junior-senior free skate, Championship adult gold free skate, Championship adult
dance, Championship adult pairs.

All other open events offered at the sectional championships are determined at the discretion of the Local
Organizing Committee. Competitors will register directly with the Local Organizing Committee for these open

The U.S. Adult Figure Skating Championships shall consist of the following events (See Rule 1440):

    A. Events which require qualification from sectionals: Championship intermediate-novice free skate,
       Championship junior-senior free skate, Championship adult gold free skate, Championship adult dance,
       Championship adult pairs.

    B. Events which do not require qualification from sectionals: Masters senior free skate, masters junior free
       skate, masters novice free skate, masters intermediate free skate, adult gold free skate, adult silver free
       skate, adult bronze free skate, masters pairs, adult gold pairs, adult silver pairs, adult bronze pairs, open
       masters dance, adult gold dance, adult pre-gold dance, adult silver dance, adult pre-silver dance, adult
       bronze dance, adult pre-bronze dance, adult centennial dance, adult solo gold dance, adult solo silver dance,
       adult solo bronze dance, masters artistic/dramatic interpretive free skate, masters light
       entertainment/comedy interpretive free skate, adult artistic/dramatic interpretive free skate, and adult light
       entertainment/comedy interpretive free skate.

                         A full description of all events and requirements can be found at:

     Solo dance: Will be included in three categories: gold, silver and bronze. Compulsory dances selected are
     posted at .
     Championship masters is divided into two categories: intermediate-novice and junior-senior.
     Adult championship dance, adult gold dance, adult pre-gold dance and masters open dance: Free
     dance has replaced original dance as the final round.
     Interpretive: Prop Rules/Violations
       1) A prop may touch or graze the ice as long as it remains in the skater's hand and/or attached to the
           skater’s costume/person, and is not dropped or out of the skater's control.
       2) There will be a .1 deduction from the second mark for each time a prop is dropped on the ice (out of
           the skater's control); if the prop is not retrieved and back in the skater's control within 10 seconds, the
           prop will be considered intentionally set down and the skater will be disqualified.
       3) Skaters who intentionally place a prop on the ice, boards or judges stand, who throw a prop into the
           audience or over the boards, or whose prop harms the ice will be disqualified.
       4) Skaters who use illegal special effects (e.g., water, fire, pyrotechnics, dry ice, loud noises) or
           costumes (e.g., feathers, boas, excessive beading) that are deemed unsafe by the referee will be
       5) Skaters who perform illegal elements (for example: Axels and/or double jumps) will be disqualified.
     Eligibility and Ages: Age categories have been adjusted. Please see “D” below (or rule 3292) for details.
     Tests qualifications now include adult tests OR standard tests passed.
     Please see Rules 3730 through 3820 in the 2009-2011 Rulebook for details
2011 Adult Sectional Figure Skating Championships                                      Page 3 of 20
Reminders of 2010-2011 changes
      Skaters may enter a maximum of four events, including championship events. If qualifying for
      championship event(s) puts the skater over the four-event limit, he/she shall choose which event(s) he/she
      wishes to withdraw from without financial penalty.

        Interpretative free skating is divided into two separate events: artistic/dramatic interpretative and light
        entertainment/comedy interpretative. Skaters may now enter BOTH events if they wish. They may not
        switch events after entering.

    Online electronic registration (Required)
    Online registration is the ONLY method available for entry into the qualifying (Championship) events of the
    2011 U.S. Figure Skating Adult Sectional Championships, and the ONLY method for ALL U.S. Adult
    Championships events, including events not requiring qualification from the sectional championships.

    To enter online into the 2011 adult qualifying competition season, proceed in the following manner:
         Log on to
         Input your username and password.
            o Your username is your U.S. Figure Skating membership number.
            o If you do not already have a password, go to first and follow the online

    Registration for all nonqualifying events at the adult sectional championships will be completed directly
    through the Local Organizing Committee. A separate announcement specifically for the nonqualifying event
    will be posted by the local organizing committee. Refer to the local information for instructions on how to
    register for the nonqualifying events.

    If you are experiencing difficulty with online registration, please call the U.S. Figure Skating main number at
    719.635.5200,     or   e-mail      the   U.S.    Figure      Skating     member      services   department   at

    The entry deadline for the 2011 Adult Sectional Championships is 11:59 p.m., Feb, 1, 2011.

    The entry deadline for the 2011 U.S. Adult Championship is 11:59 p.m., Feb, 1, 2011.

    The time zone of your home club (members affiliated with a club) or your primary address (individual member)
    will determine the entry deadline. NO REGISTRATIONS WILL BE ACCEPTED AFTER THIS

    Age requirements for the sectional championships must be met by Feb, 1, 2011.

    Test requirements must also be met by Feb, 1, 2011. Provisional entries based on passing a test after the closing
    date of entries will not be accepted. Please refer to U.S. Figure Skating Rules 3107, 3108 and 3109 for further
    testing information and guidelines. Skaters may NOT test the next higher level after the close of entries.
2011 Adult Sectional Figure Skating Championships                                      Page 4 of 20
   This event is open for participation to all eligible competitors who are members in good standing of U.S. Figure
   Skating per rule 3050, E.R 1.02 and 1.06. For championship events at the U.S. Adult Championships and
   Adult Sectional Championships, non-U.S. citizens must meet the requirements of rule 3066. “Non-U.S. Citizen
   Application to Compete” and supporting documentation must be submitted to the Chair of the Competitions
   Committee no later than Feb. 1, 2011. Read Rule 3066 for complete details. Forms are available on the U.S.
   Figure Skating web site. Those entering non-championship (open) events at sectionals and U.S. Adult
   Championships are not subject to Rule 3066, but fall under rule 3051B, which states that they must be legal
   residents of the U.S. and meet all other test, age and membership qualifications. Non-U.S. citizens entering
   open events need only fill in the appropriate boxes on the nonqualifying entry form.

   Skaters may not enter an adult level at a qualifying competition (Adult sectionals/U.S. Adult Championships)
   and a standard level at a qualifying competition (regionals/sectionals/U.S. Championships) in the same kind of
   event, in the same competition season and vice versa. For example, a skater may not enter novice men free
   skate on the standard track and masters free skate on the adult track in the same season, but may enter novice
   men free skate on the standard track and masters pairs on the adult track.

   Age and test qualifications as of entry deadline date will determine event eligibility and classification for all.
   Tests passed after close of entries and prior to the event will disqualify skaters if test exceeds maximum
   requirement for the event entered in this competition.
   Skaters may compete in as many disciplines as qualified by test level but may compete in only one event per
   discipline (maximum total of four events). As an exception, a competitor who qualifies to enter a championship
   event in adult dance, adult pairs, adult masters free skate or adult gold free skate through their adult sectional
   championships may also enter an open event at the test level for which they may be qualified. However, if a
   scheduling conflict occurs that cannot be resolved by the Chief Referee, the skater may be asked to choose to
   omit an event.

   Per rule 3292, there shall be age categories for all singles free skate and interpretive events, except
   championship events. For the 2011 competitive season, the age categories at the U.S. Adult Championships are
   as follows:

       Class I:         21 years through 30 years
       Class II:        31 years through 40 years
       Class III:       41 years through 50 years
       Class IV:        51 years through 60 years
       Class V:         61 years and over

   All age categories may be divided or combined depending on the number of entries. Masters levels
   (intermediate/novice/junior/senior) may also be combined but divided by age. This authority lies with the chief

   Events with two skaters MAY be combined with the closest appropriate group and/or level if a skater
   withdraws from the event during the conduct of the competition. This ensures that the remaining skater has an
   event in which to compete.

   Proof of age is required for all events. Acceptable forms of documentation include birth certificate, passport or
   similar proof. The LOC reserves the right to require additional information.

   No medical byes will be considered. There will be no competition byes to the U.S. Adult Figure Skating
2011 Adult Sectional Figure Skating Championships                                   Page 5 of 20
   When there are four or fewer competitors in an adult sectional qualifying event (championship intermediate-
   novice free skate, championship junior-senior free skate, championship adult gold free skate, championship
   adult pairs, championship adult dance), the skaters shall be required to compete. (If there is only one competitor
   or team in an event, that person/team moves directly to the U.S. Adult Championships without having to
   perform at sectionals.) If, at the close of entries, there are fewer than four competitors registered for a
   qualifying event at a sectional adult championship, additional competitors from the same qualifying event in
   other sections shall be permitted to enter the U.S. Adult Championships in order to bring the number of
   competitors up to a maximum of 12 (or more if ties make it necessary). See rule 3172.

   All competitors entering the 2011 adult qualifying competition season must submit payment of the appropriate
   entry fee (amounts listed below) to U.S. Figure Skating. All competitors are required to pay both the entry fee
   into the qualifying competition season (for each event entered) and the administrative fee. All fees are

   2011 Adult Qualifying Competition Season Entry Fees
    Entry Fee    Level/Discipline
    $120         Championship Events (Adult Sectional Championships)
    $120         First singles event (U.S. Adult Championships)
    $80          Each subsequent singles event (U.S. Adult Championships)
    $120         Dance event per team ($60 per individual)
    $120         Pairs event per team ($60 per individual)
    $10          Administrative fee/transaction (All transactions subject to payment of
                      administrative fee)

   U.S. Adult Championships Entry Fees
   Those competitors advancing in the championship events from the three sectional championships will not have
   to submit an additional entry fee to compete in the same event at the 2011 U.S. Adult Championships.
   However, the championship events are not considered the “first singles event.” Therefore, those wishing to
   enter another event must pay the “first singles event” fee. For example, if you want to enter adult gold free
   skate and masters interpretive free skate at the U.S. Adult Championships, you would pay $120 for the first
   singles event and $80 for one subsequent singles event – a total of $200. If you enter an open dance event and
   wish to also enter a solo dance event, you would pay $220 ($120 for the first dance event, $120 for the first
   singles event). Additional pair/dance events would be an additional $120 for each event, subsequent singles
   events would be $80 per event.
   Once entries have closed, entry fees are only refundable if the competition is not held. There are no refunds for
   medical withdrawals. The chief referee reserves the right to divide or cancel an event when necessary.

   Your registration is not valid until all appropriate entry and administrative fees have been paid and all
   required forms have been completed online to U.S. Figure Skating.

   Online payment via credit card is the ONLY accepted form of payment.

   All withdrawals are considered final after a skater has entered. Once withdrawn, a skater may not re-
   enter, even if the withdrawal occurs prior to the entry deadline on Feb, 1, 2011.
2011 Adult Sectional Figure Skating Championships                                    Page 6 of 20

   For the 2011 season, all events and levels at adult sectionals will be judged under the 6.0 system. At the U.S.
   Adult Figure Skating Championships, the International System of Judging (IJS) will be used for the following
   events: all championship events, open adult gold free skating ,all masters level free skating, gold pairs, and pre-
   gold dance and higher.

   All age and test requirements can be found on the U.S. Figure Skating web site at .

   The well-balanced program charts for all levels and disciplines are posted on the U.S. Figure Skating web site
   at As referenced earlier in this announcement, U.S.
   Figure Skating will incorporate all changes made by the ISU in regards to well-balanced programs. Please refer
   to this web site for continuous updates.

   As part of the registration process, all competitors competing in the championship events, and those events at
   the gold level and higher during the 2011 adult competition season, are required to submit a planned program
   content sheet as part of the registration process (online submission preferred) in order to finalize your
   application. The PPCS is to be completed by everyone entering the 2011 U.S. Adult Championships in the
   aforementioned events no later than the close of entries on Feb. 1, 2011, but can be updated up to one week
   prior to your competition.

   Please go to and follow the instructions to complete your planned program content sheet.

   COMPETITON MUSIC INFORMATION (Required component of online registration)
   U.S. Figure Skating requires all competitors to fully complete a competition music information form as part of
   the online registration process.

   The following information is required for each piece of music used in the composition of the short
   program/original dance and free skate/free dance: composer, orchestra, duration of music, record label/number
   (optional but highly recommended if obtainable).

   New for 2011
   Use of vocal music - per rule 3502(A)(1) - all adult skating levels from pre-bronze through Masters Novice
   may use vocal music for free skating programs.

   For all qualifying events during the 2011 season, CDs are the only acceptable media. CDs must be clearly
   marked with name, event entered and the music length. Each CD must have only ONE (1) track on it. Any
   disc with more than one (1) track will NOT be accepted! Lead in time (time before the music begins) on CDs
   may not exceed two (2) seconds.
   Each CD must be in a paper CD sleeve with a see through window (obtainable at any office supply store), also
   labeled with the skater’s name and event. Standard hard plastic jewel cases or other CD holders are no longer
   acceptable. CDs that are not properly identified will NOT be accepted. Due to compatibility and reliability
   reasons, music may NOT be submitted on re-recordable "CD-RW" discs.

   All competition music must be turned in at the registration desk at the time of registration. At the
   Championships, competitors will not receive their credentials at registration until they turn in their music.
2011 Adult Sectional Figure Skating Championships                                    Page 7 of 20

   U.S. Figure Skating will supply current dance music for compulsory dances.

   The official bulletin board will contain any announcements or changes, and it is the responsibility of the
   competitors to check it often for official notices. Please refer to the local portion of the announcement for
   further information regarding the bulletin board.

   A tentative schedule will be posted on the event web site as soon as possible, hopefully by mid to late February.
   This schedule will not include event times, only the days on which each event will be held. A schedule will not
   be finalized until after the completion of the three adult sectional championships in late February. The tentative
   schedule is a preliminary schedule; therefore, skaters should NOT rely upon this schedule in making travel


   All singles competitors advancing to U.S. Adult Championships will receive either the announcement or
   instructions for retrieving the announcement for their next competition at their sectional championships awards

   For every competitor, all information required to be sent to the U.S. Adult Championships local organizing
   committee (photos, practice ice requests, etc.) must be postmarked no later than the Tuesday following your
   sectional championship. Any information postmarked after the Tuesday following your sectional
   championship will be accepted ONLY at the discretion of the local organizing committee.

   Skaters placing in fifth and sixth place in the championship events at the adult sectional championships will be
   designated as first and second alternates for the 2011 U.S. Adult Championships. These competitors will be
   provided an event announcement as they may be selected to compete up to 48 hours before their competition
                      Alternates do not need to mail in any paperwork or required forms
                                       unless contacted by U.S. Figure Skating.
2011 Adult Sectional Figure Skating Championships                                   Page 8 of 20

   U.S. Figure Skating, the host club(s) and/or interclub association, the organizing committee, and the ice arenas
   being utilized for these events accept no responsibility for injury or damage sustained by any participant in
   these championships (U.S. Figure Skating Rule 3222).


   For further information, requests should be addressed to:

   Competitions Coordinator, U.S. Figure Skating
   Pamela Crowley

   National Vice-Chair for Adult Competitions
   Dr. Antonio Conte

   Chair, Adult Committee
   Lexi Rohner

   Chair, Competitions Committee
   Lynn Goldman
    2011 Adult Sectional Figure Skating Championships                                        Page 9 of 20

    2011 Pacific Coast Adult Sectional Championships                                                                       
                                      Qualifying Announcement 
GENERAL INFORMATION                                                                                                            
LOC:                     CHAIRMAN                   CO‐CHAIRMAN             REFEREE                      
                         Karin Sirk                          
                                                    Kim Culp                Wayne Hundley 
                         REGISTRAR                  PRACTICE ICE                    
                         Laura Simone               Century Leigh            
Location:                SoBe Ice Arena @ Fiesta Rancho, 2400 N. Rancho, North Las Vegas, NV 89130.  For rink information 
                         only, call (702) 631‐7000 OR (702) 647‐RINK. Do not contact the rink for practice ice information; 
                         contact the appropriate listed person above. 
Rink Size:               a single surface, 200’ x 85’ with rounded corners (standard NHL size). 
Facilities:              The ice surface is connected to the Fiesta Rancho Hotel & Casino, which includes several fast food 
                         restaurants, a buffet, Denny’s, other restaurants, and a gift shop.  Texas Station Hotel & Casino is 
                         directly across the street and it has a fast food court, CoCo’s, a buffet, steak house, and Starbucks. 
Local Sponsor:           Las Vegas Figure Skating Club  
Returned checks:         A $35.00 fee will be payable to the Las Vegas FSC for any returned checks.  In addition, the skater 
                         will not be permitted to skate until the appropriate fees have been paid (CASH OR MONEY ORDER 
                         ONLY), including the $35.00 returned check fee.  There will be NO EXCEPTIONS!!  
Practice Ice:            Practice Ice will be available during the competition.  30 minute sessions and 20 minute “day of 
                         event” warm up sessions will be offered.   
                         Music will be played on the 30 minute sessions only.  Music will be played by draw.  Music draw 
                         will take place on a “first come, first served basis” 30 minutes prior to the start of each session.  
                         There is no guarantee that everyone’s music will be played, however every effort will be made to 
                         do so.  
                         There will be NO refunds on practice ice and practice ice is non‐transferable. 
                         The practice ice schedule will be available on the entryeeze website after the 
                         schedule has been posted.  Practice ice will be sold online until midnight February 21, 2011.  
                         Additional practice ice will be sold on site beginning Thursday, February 24. 
Competition Schedule:    It is left to the discretion of the Chief Referee as to order, time, and day of each event.  Skaters 
                         should be prepared to skate at any time that their event may be scheduled.  A tentative schedule 
                         will be available on the 2011 Pacific Coast Adult Sectional’s website 
                as soon as it is available 
      2011 Adult Sectional Figure Skating Championships                                      Page 10 of 20
    Official Schedule:     The official schedule will be posted in the rink lobby during the event.  All changes to the schedule 
                           will be noted on the posted official schedule and will serve as due notice.  Please check the official 
                           schedule frequently. 
    Check In:              A registration desk will be established near the entrance of the rink and will be open one (1) hour 
                           before the first scheduled event each day of the competition.  All competitors are requested to 
                           register upon arrival at the ice arena (no earlier than 60 minutes before your scheduled event).  
                           Events may be started early at the Chief Referee’s discretion.  Skaters must check in with the Ice 
                           Monitor 30 minutes before they are scheduled to skate. 
    Photos:                Pictures of the top four skaters in each event will be taken on the podium following the posting of 
                           results.  All skaters can also purchase individual pictures.  Action photos of each skater will also be 
    Programs:              Programs of the competition are available for purchase as part of the application.  A very limited 
                           amount of programs will be available for sale at the competition. 
    Videos:                Professional video taping of each event will be available.  All U.S. Figure Skating Championship 
                           Competitions will be professionally videotaped and photographed.   Individual videotaping of the 
                           competition in any form is not permitted.   This rule will be enforced.  Photographs are permitted 
                           for personal use only.  There will be NO flash photography permitted in the arena.  Thank you for 
                           your compliance with these policies. 
    Administration:        Result sheets for all events will be available for 25 each at the Registration desk.   
    Credentials:           At the time of registration, each competitor will receive a credential.  Credentials will also be 
                           issued to professionals.  Credentials will allow admission to backstage areas of the competition.   
                           To be credentialed all professionals must be current members of U.S. Figure Skating and the PSA, 
                           must have completed CER Category A, and have completed all requirements for U.S. Figure 
                           Skating’s Coach’s Registration.  NO EXCEPTIONS WILL BE MADE. 
    Coaches:               In order to be allowed to instruct/coach all coaches must be U.S. Figure Skating members, PSA 
                           members, must have completed CER Category A and have gone through the Coach’s Registration 
    Admission:             There is no admission price for spectators.  Children under the age of ten (10) must be 
                           accompanied by an adult at all times. 
    Competitor’s Party:    Will be held on Saturday night at Blue Agave at the Fiesta Rancho.  See Party form for details. 
    Accommodations:        Fiesta Hotel & Casino 702‐631‐7000 
                           2400 North Rancho Drive 
                           North Las Vegas NV. 89130 
                           February 24, 25, & 26‐ Blocked Room Rate 
                           Thursday, February 24‐ $29.00 
                           Friday, February 25‐ $49.00 
                           Saturday, February 26‐ $49.00 
                           A $4.99 hotel service fee per night, will be applied to each room, which includes local daily 
                           newspaper, high speed internet in guest rooms, unlimited local calls and unlimited domestic long 
                           distance calls.  Room rates will be subject to the prevailing room tax, which is currently 12% and 
                           subject to change. 
2011 Adult Sectional Figure Skating Championships                                    Page 11 of 20
                    To make a reservation call (800) 731‐7333 and identify themselves as attendees of the Pacific 
                    Coast Adult Sectionals. 
                    A credit card and deposit in the amount of one (1) night’s room and tax charge is required upon 
                    making reservation.  Individual reservations may be cancelled up to 48 hours prior to arrival 
                    without penalty.  Cancellation within 48 hours prior to arrival will result in a penalty of one (1) 
                    night room and tax charge.   
2011 Adult Sectional Figure Skating Championships                             Page 12 of 20

           Pacific Coast Adult Sectional Championships                            2011            
                                      CERTIFICATION BY ATHLETE 
Athlete:  I agree to conduct myself, both on and off the ice, in a manner that will reflect favorable upon 
  this competition and upon the sport of figure skating, and that is consistent with the high standards of 
  the sport.  I agree to respect the person and property of others, and in the event I cause injury, 
  damage, or loss to another or to the property of another, I hereby indemnify U.S. Figure Skating, SoBe 
  Ice Rink, Fiesta Hotel and Casino, the Local Organizing Committee, the Las Vegas Figure Skating Club, 
  and their officers, directors, members, committees, representatives, employees and agents, and agree 
  to hold them harmless against any and all claims that another person may have or which may arise out 
  of such injury, damage, or loss, together with any reasonable costs and attorney’s fees that may be 
  incurred as result of any such claims, whether valid or not. 
Athlete:  I understand that U.S. Figure Skating and the Las Vegas Figure Skating Club or organizers of this 
  competition undertake no responsibility for damages or injuries, or loss of property suffered by the 
  competitors.  As a condition of 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 person 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, Sobe Ice Rink, Fiesta Hotel and Casino, Local Organizing 
  Committee, the Las Vegas Figure Skating Club, and their officers, directors, members, committees, 
  representatives, employees and agents, and their entries shall be accepted only on such condition (see 
Athlete’s Signature                                                                    Date 
2011 Adult Sectional Figure Skating Championships                                                                                                   Page 13 of 20

                     Pacific Coast Adult Sectional Championships                                                                                             2011 
Name:                                                                                                         Phone #: 
                    Street                                                                                   City                             State                      Zip 
Emergency                                                                                                     Emergency 
Contact:                                                                                                      Contact #: 
Alternative                                                                                                   Alternative 
Contact:                                                                                                      Contact #: 
I certify that I, the member/participant give my consent to U.S. Figure Skating, Las Vegas FSC, SoBe Ice Arena, 
Fiesta Hotel & Casino, and their applicable agents, directors, officers, administrators, employees, volunteers, 
instructors, trainers, other participants, and the applicable agents, directors, officers, administrators, employees, 
volunteers, instructors, and trainers of the facility where the activities are taking place to obtain medical care 
from any licensed physician, hospital, or clinic, including transportation and emergency medical service for 
myself/ourselves and/or said participant for any injury that could arise from participation in these activities.  In 
the event I am unable to, I hereby give permission for any emergency medical treatment and further authorize 
and consent to the release of any pertinent medical information and records regarding the treatment, diagnosis, 
and/or examination to the medical committee of the competition, for which I am entered by the physician 
representative of the medical committee of the sanctioned competition in which I am entered. 
Athlete’s Signature                                                                Date 
 Name of Primary Physician:                                                                                                                                                      
 Telephone of Primary Physician:                                                                                                                                                 
 Name of Insurance Company:                                                                                                                                                      
 Policy number:                                                                                                                                                                  
 Name of policyholder:                                                                                                                                                           
 PLEASE NOTE:  If you have any allergies, pre‐existing conditions or other conditions which should be 
 provided as information for medical treatment, please notify your coach or include medical history in 
 your important documents that you keep with you. 
    2011 Adult Sectional Figure Skating Championships            Page 14 of 20

    THE FOLLOWING ARE DUE BY 11:59 pm February 1, 2011 
     Mail to:            
                Laura Simone
                PCAS Registrar                              
                544 Playa Linda Place
                Las Vegas, NV. 89138
      For Questions Contact: 
                                      Laura Simone
                                        Karin Sirk
                             (Mon.-Fri. between 2:30pm-9:00pm)
                                 (Sat.-Sun. 8:00am-9:00pm)
                                Pacific Standard Time Zone
2011 Adult Sectional Figure Skating Championships                             Page 15 of 20

           Pacific Coast Adult Sectional Championships                            2011            
                                      PROGRAM INFORMATION 
This information will be used for skater profiles in the program book.  Pictures are optional. 
Name of Competitor:                                                                                   
Name of Club:                                                                                         
Event(s) Entered:                                                                                     
Coach(s) Name(s):                                                                                     
Choreographer(s) Name(s):                                                                             
For Pairs, Partner’s Name:                                                                            
For Dance, Partner’s Name(s):                                                                         
Enclose two (2) 5”X7” photographs in an envelope with this page.  Label both photographs on the back 
lightly with the skater’s name, home club, and event.  Black and white or color photographs are 
acceptable; however, black and white will reproduce more clearly.  Photo should be a head shot.  You 
may also email photos as a JPEG or WORD file to  
Your photos will be available for pickup at the registration desk.  Every effort will be made to safeguard 
your photos and return them to you.  However, the Las Vegas FSC accepts no responsibility for lost or 
damaged photographs. 
    2011 Adult Sectional Figure Skating Championships                         Page 16 of 20

                                   NAME PRONUNCIATION FORM 
    Name:                                                E‐mail: 
    Phone #:                                             Cell #: 
    Phonetic Pronunciation (please CAPITALIZE the accented syllable): 
    First Name:                                        
    Last Name:                                         
    Alysee Davis                                       
    First Name:  uh‐LEASE                        
    Last Name: DA‐vis                                  
                                      VOLUNTEER OPPORTUNITIES 
    Name:                                                E‐mail: 
    Phone #:                                             Cell #: 
    Volunteer schedules will not be set until the competition schedule is completed, so we won’t interfere 
    with your events. 
             I can help during the competition, please contact me 
             I cannot help during the competition 
    If you would like to help us out during the competition, we'd love to have you! Please check off as many 
    items as you’d like to help with.  Your name and contact information will be passed on to the 
    appropriate committee chair.   
             Anywhere as needed                           Set‐Up 
             Registration                                 Take down 
             Ice Monitor                                  Runner 
             Coaches check in 
       2011 Adult Sectional Figure Skating Championships                                                                             Page 17 of 20

                         Pacific Coast Adult Sectional Championships                                                                      2011                     
                                       PROGRAM ADVERTISING and SKATER “GOOD LUCK” ADS 
        Name:                                                                                                         E‐mail: 
                            Street                                                                                   City                             State                      Zip 
        Phone #:                                                                                                      Cell #: 
    The Souvenir Program Book is black and white, with the exception of the cover pages. The finished size is 8 ½ x11”.  Please join 
     in supporting our event by purchasing advertising space in the program.  With competitors from various parts of the west coast, 
     your ad will be seen!  Ads are also a great way to wish skaters luck, & let them see their name in print.  Check the size of 
    advertisement you are purchasing & make certain your ad fits within the specified measurements.  Covers will be sold to 
     earliest buyer.  This is a donation to the Las Vegas Figure Skating Club (a 501‐c3 organization) and may be tax deductible.   
                                                    BOARD BANNER (**see below for details)                                                      $ 225.00 
                                                    OUTSIDE BACK COVER‐color                                       (7 ½ x 10”)                  $ 275.00 
                                                    INSIDE FRONT COVER‐color                                       (7 ½ x 10”)                  $ 225.00 
                                                    INSIDE BACK COVER‐color                                        7 ½ x 10”)                   $ 175.00 
                                                    FULL PAGE                                                      (7 ½ x 10”)                  $ 125.00 
                                                    HALF PAGE                                                      (7 ½ x 5”)                   $   75.00 
                                                    ¼ PAGE                                                         (3 ¾ x 5”)                   $   50.00 
                                                    BUSINESS CARD  (attach business card)                                                       $   25.00 
                                                    PERSONAL MESSAGE (we design)                                                                $   25.00 
                             Total Amount Enclosed:                                                                  $                        
       write personal message here‐MAX 150 characters                                                                                                                  
       **Board Banners are 72 inch long, come in color, and will be designed per your specifications and hung around the 
       competition ice.  Advertise your business, highlight your club, or congratulate your skater or coach.  Just submit your design 
       and we will take care of the rest.   
       Please send correctly sized, black & white, camera‐ ready art or art in JPEG or WORD files can be e‐mailed to .   
       Date payment received:                                                                    Received by: 
       Check #:                                                                                  Check amount: 
2011 Adult Sectional Figure Skating Championships                           Page 18 of 20

                                          PROGRAM ORDER 
Name:                                                 E‐mail: 
Phone #:                                              Cell #: 
PROGRAM SALES:                        
  We are taking pre‐sale orders for competition programs at the cost of $15.00.  We will only have a 
  limited amount of extra programs on hand during the competition at a cost of $20.00.   So order yours 
Quantity:                x $15.00      =              
Date payment received:                               Received by: 
Check #:                                             Check amount: 
    2011 Adult Sectional Figure Skating Championships                           Page 19 of 20

    THE FOLLOWING ARE DUE BY 11:59 pm, February 1, 2100 
    PROGRAM ORDER (optional) 
    A $30.00 fee will be payable to the Las Vegas Figure Skating Club for any returned checks. 
      Make Check out to:  Las Vegas Figure Skating Club   
      Mail to:                               
                   Las Vegas FSC
                   Karin Sirk
                   PO Box 570531
                   Las Vegas, NV. 89157-0531
       For Questions Contact: 
                                    Karin Sirk
                         (Mon.-Fri. between 2:30pm-9:00pm)
                             (Sat.-Sun. 8:00am-9:00pm)
                            Pacific Standard Time Zone  
            2011 Adult Sectional Figure Skating Championships                             Page 20 of 20

                        Pacific Coast Adult Sectional Championships                           2011            
                                                    COMPETITIOR’S PARTY 
            Name:                                                  E‐mail: 
            Phone #:                                               Cell #: 
            WHEN: Saturday, February 26, 2011 
            TIME:          7:30 pm‐11:00 pm 
            WHERE:         Blue Agave inside the Fiesta Hotel & Casino 
            COST:   Free for PCAS competitors to get in 
                           Non Competitors are $5.00 each (pre‐paid) 
                           Non Competitors are $10.00 at the door 
                                           Snacks and Finger Foods with CASH BAR 
            Competitor’s Name:                                                  Admission:   FREE                  
            Guest Names:                                                        Admission:   $                     
            Guest Names:                                                        Admission:   $                     
            Guest Names:                                                        Admission:   $                     
                                                                                       TOTAL DUE:                  
            The LOC reserves the right to cancel the party & refund fees, if there is a lack of interest. 
                                      THIS FORM MUST BE RECEIVED BY FEBRUARY 5, 2021 
        Make Check out to:  Las Vegas Figure Skating Club                           
        Mail to: 
                            Las Vegas FSC                             If you have any questions, please contact
                            PO Box 570531                                         Tina Gusman-Rieb
                            Las Vegas, NV. 89157-0531                     
                                                                              (Mon.-Fri. between 3:00pm-9:00pm)
                                                                                  (Sat.-Sun. 8:00am-9:00pm)
                                                                                 Pacific Standard Time Zone
            OFFICE USE ONLY  
            Date payment received:                                Received by: 
            Check #:                                              Check amount: 

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