The Pettit National Ice Center Presents

2015 US Speedskating National Marathon

February 13 & 14

25Kilometers-65 laps & 50Kilometers-130 laps

Name:______

Address: ______

City:______State:___Zip Code:______Phone:______Date of Birth: ______Sex:M __ F __

USS Reg #______

Age on 7/1/13:______ Email: ______

CHECK OR CIRCLE SKATER’S CLASS (AGE AS OF JULY 1, 2014):

Junior (13-17)__Senior (18-29)__ Master (30-39)__Master (40-49)__Master (50-59) __ Master(60+)__

Master 70+___Master 80+___

Association: ______Club: ______

PLEASE CHECK OR CIRCLE WHICH RACE(S) YOU WISH TO PARTICIPATE IN:

25k__ 50k__ 25k+50k__

$40.00 per race day. $50 for both race days combined.

Late Fee: Additional $50.00 afterFebruary 12,2015

Two Step Registration Process

1. Pay and confirm registration at this link:

You will be guided to set up an account to register.

2. Then forward this form and your race choices to

Competitors listing and results can then be viewed at

ALL PARTICIPANTS ARE REQUIRED TO BE CURRENT MEMBERS OF U.S. SPEEDSKATING

By signing this entry form, the member of U.S. Speedskating has certified that he/she has read and understands USS’s code and agrees to abide by it. One day National Marathon racing licenses are available at the meet.

Skater Signature: ______

Date: ______

Parent/Guardian Signature:______Date:______

(If skater is under 18 )

Return entry form, waiver (separate document),USS membership form- if needed- (and proof of citizenship), and release to:

US Speedskating National Marathon Championships/Olusegun Sijuwade-Meet Director,

Pettit National Ice Center,500 South 84th Street,Milwaukee,WI 53214,Phone: 414-248-2720,Fax: 414-908-9633,Email:

RACE START TIME:Friday,February 13,4:30PM-25 kilometer,65 laps;Saturday,February 14,8AM-50 kilometer-130 laps. A 30 minute optional warm up is one hour before racing on both days.

RACE CHECK-IN:One hour before competition start on both days at the PNIC

US SPEEDSKATING MEMBERSHIP: Proof of U.S. citizenship (birth certificate or passport) must be supplied with your application to US Speedskating. One day $15 USS licenses will be available. Other countries may compete but are not eligible to be the US National champion.

Monday, 9:00am-11am ,4:30pm-6:55 pm,Tuesday, -9:00am-11am,4:30pm-5:55pm,Wednesday, 9:00-11:00am,4:30pm-6:25pm,Thursday, 9:00am-11:00am,3:30pm-5:55pm,Friday,9:00am-11:00am,4:30pm-7:00pm

Lodging

Please use the sponsor hotels at the following link: Or you may contact via phone numbers below. Be sure to mention Pettit Center for the special rate.

Country Inn & Suites Milwaukee West- 1250 S. Moorland Rd. Brookfield, WI (5.7 miles from Pettit Center), Phone: 262-782-1400. Rates Starting at $89 per night

Crowne Plaza Milwaukee West- 10499 Innovation Drive Wauwatosa, WI(2.6 miles from Pettit Center), Phone: 414-475-9500. Rates Starting at $89.00 per night

Midway Hotel and Suites-1005 S Moorland Rd, Brookfield, WI(5.5miles from Pettit Center),Phone: 262-786-9540. Rates Starting at $89.00 per night

Contact Information: Please contact Olusegun Sijuwade,. The PNIC is located at 500 S. 84th,Street, Milwaukee, WI,53214. Tel:414.266.0100, Fax: 414.266.0122, E-mail: ,

IMPORTANT NOTE: All skaters must provide their own person to count their laps. Lap counter forms will be provided.

Announcer’s Survey

2015 US NATIONAL/NORTH AMERICAN MARATHON CHAMPIONSHIPS

(ADDITIONAL INFORMATION FOR THE ANNOUNCER & ORGANIZERS)

US National____ North American_____ Class______

Name: Nickname: Age:

Club: Association:

Interests:

Awards:

Favorite Rink:

Favorite Foods:

Best result(s) in Skating:

Favorite Speedskating Memory:

How did you get started in speedskating?

I like speedskating because :