2016 Rebecca Pack Memorial

Friendship Skate

October 22-23, 2016

Windsor Stadium

Hosted by:

Sparkling Blades Skating Club

Sanctioned by:

1. Location: / Windsor Stadium, Prices Avenue, Grand Falls-Windsor, NL
Ice dimensions 85’ x 185’
2. Test qualifiying Deadline: / September 30, 2016
3. Age Eligibility: / the age of skater as of June 30, 2016

4.Entry Fees and Deadlines:

Deadline for Registration: Monday, September 26, 2016 Late entries will not be accepted!!

Entry fees:$65.00 Singles 1 part event(STAR 2-Gold + Pre Juvenile and Juvenile)

$105.00 Singles2 part Event (Pre Novice and higher)

$75.00 Pair and Dance Events

PLUS:$8.00 Officials Development & Technology Fee *to be paid only once per skater regardlessofthe number of categories entered.

5.Proof of Membership: A photocopy of the skater’s CURRENT 2016-17 Skate Canada Membership Card must accompany the application to provide proof of current membership.

6. Entry Forms: / Separate entry forms must be completed for each event entered. Forms for all events entered must be submitted together. Entry forms for Pair and Dance categories must be submitted for both partners at the same time. All requested information must be completed. Faxed entry forms and forms without fees will be rejected.
7. Eligibility: / As per the SCNL 2016-17 Technical Package.

Categories to be skated: Star 2 and higher, all competitive categories.
9. Payment: / Individual payments to your home club. One Club Chequemade payable to:Sparkling Blades Skating Club

10.Entries to be sent by club representative to:

Sparkling Blades Skating Club

PO Box 403

Grand Falls-Windsor, NL

A2A 2J8

Questions/inquiries to be directed to: Cathy Rowe ()

11.Refunds: Refunds will be issued for medical reasons only.

Medical refunds will be issued upon receipt of a medical certificate ($25.00 non- refundable administration fee will apply)

Schedule of Events: A schedule of events will be posted on the section website not less than one week before the competition. Junior Competitive and higher categories will be held pending availability of local judges.

12.Music: Two clearly marked CD’s must be submitted at

registration. Each CD must be in its own container and indicate competition/master or copy/ and bear the skater’s name, club, category, and music time. Only one program shall be recorded on each CD.

13.Registration: Registration will take place prior to the start of each category. Skaters are asked to be at the rink at least 1 hour prior to their event's scheduled time. Planned program content sheets to be passed in at registration for Star 5 and up, all competitive categories.

14.Awards: Awards will be presented to the top three finishers in each category, and will be awarded off- ice. Announcements to be made prior to presentation.

2016 Rebecca Pack Entry Form

Competitor’s Name
Home Address and Postal Code
Home and Emergency Phone Number/ email / Emerg
Phone #: Phone #: Email:
Skate Canada Number
Date of Birth (M/D/YYYY)
MCP Number
Name of Home Club
Signature of Home Club Officer
Club Contact Person
Club Contact Email / Phone# / Email: Phone #
Name of Coach
Category Entered ex: STAR 8 Women
Test qualifications: (highest test passed) / Freeskate:______Competitive:______Dance:______
Partners name (if applicable)
Music Time

Note: 1) Each category entered must have a separate registration form

2) Entries MUST INCLUDE a copy of the above named skater’s CURRENT Skate Canada Membership Card

Return forms/payment to HOME club representative for mailing to: Sparkling Blades Skating Club

P. O. Box 403, Grand Falls-Windsor, NL A2A 2J8

Entry Fees must accompany entry forms: $73.00 (one program), $113.00 (two-part programs), $91.00 (Pair/dance teams).Includes $8.00 officialsdevelopment and technology fee. No applications will be accepted after September 26, 2016. Club Cheques to be made payable to: Sparkling Blades Skating Club

Participant’s Release :

By my participation in this event, I consent to the known and foreseeable physical risks inherent in the sport of figure skating. These risks include, but are not limited to: travel to and from the arena, ice conditions, equipment failure, and falls, collisions with other participants and/or instructors and facility conditions. In assuming these risks, I the undersigned, forever release, for myself, my heirs, and any person action on my behalf, the Host Club and Skate NL, and its directors, employees, volunteers, coaches, official, instructors, independent contractors, agents and sponsors from any claim arising from any illness or injury to my p0erson as a result of my participation in this event.

The above competitor is registered in the correct category
Coach's signature______Date: ______
Competitor/Parent/Guardian Signature: (Parent/Guardian Signature required if participant under 18 years of age)
Signature______Date: ______
Accommodations
Mount Peyton Hotel
Trans Canada Highway
Grand Falls-Windsor, NL
1-800-489-2251
Rate: $115.00/night guaranteed until Sept.18, after which time unbooked rooms will be released.
Quote Sparkling Blades SC or Code: 283675 to obtain rate.
Other Accommodations:
Robin Hood Inn
Lincoln Rd,
Grand Falls-Windsor, NL
709-489-5324
Westwood Inn & Suites
156 Trans Canada Highway, Exit 17
Grand Falls-Windsor, NL
1-888-489-5630

Rebecca Pack Memorial Friendship Skate Club Summary

To be completed by each club and returned with all applications and one club cheque written to “Sparkling Blades Skating Club”

Club Name:______Club #______Contact Name:______

Email:______

Phone:______

Skater Name / Event / $/event / $8/dev / Total $
Totals