Guildford Adult Open Competition

21st May 2018

CLOSING DATE 9th APRIL 2018 AT 5.PM

ENTRY FORM

Event being held at:

Guildford Spectrum

Parkway

Guildford

Surrey

GU1 1UP

(60x 30m, air-conditioned and heated)

Entry Form

Please choose Male / Female (delete as applicable) and select the Event that you wish to enter.

Male / Female / Pre bronze Young / Pre Bronze Class I / Pre Bronze Class II / Bronze Young / Bronze Class I / Bronze Class II
Silver Young / Silver Class I / Silver Class II / Gold Young / Gold Class I / Gold Class II / Masters

Competitor Details

Competitor’s Name:
Event Code: / Male/Female:
Address 1:
Address 2:
County: / Post Code:
Email:
Contact number: / Date of Birth:
Age as at 1st July 2017:
NISA Membership Number:
Club/rink:

Competitors Skating Level

Field Moves: / Date Passed:
Free: / Date Passed:
Elements: / Date Passed:

UK Coach Details

NISAlicensedcoacheswishingto enterskatersfortheseeventsmusthaveattendedthedisciplinespecificIJSseminar at the Coaches Conference either in 2015, 2016 or 2017 to be accredited for this event. Any coach who has not yet attended the Coaches Conference may not now be accredited.

Any IJS seminar prior to 2015 have now expired.

A Field Moves seminar also must have been completed prior to the date of the competition – This may have been completed prior to attendance of the Coaches Conference.

Ifthecoachnamedontheapplicationformhasnotdoneso,theskaterwillbegiventheopportunitytonameanothercoach but please note that in order to apply a Coaches details must be provided, if no coaches details are included the entire entry will be returned without being registered and NOT ACCEPTED

Coach 1

Licensed Coaches Name:
Licensed Coaches NISA Membership No:
Date / Venue - Field Moves seminar attended:
Date / Venue - Conference / IJS seminar attended:
Coaches Contact details:

Coach 2

Licensed Coaches Name:
Licensed Coaches NISA Membership No:
Date / Venue - Field Moves seminar attended:
Date / Venue - Conference / IJS seminar attended:
Coaches Contact details:

Payment Method and Enclosed Items

PayPal
Program Content Sheet

I agree to abide by the rules of the competition and have sent an entry fee of £55 payable by PayPal to the details below.

PAYMENT DETAILS

Payments are accepted throughPayPal only. Please use the PayPalbutton on the website and include the skater’s name as reference. You do not need a PayPalaccount and you will be able to use a debit/credit card to complete the transaction.

Declaration

I consent to the above information being stored on a computer for the purpose of this competition

I accept that these competitions maybe be subject to doping control as recommended by the ISU and IOC

I (the competitor)consent to being photographed / videoed by the official photographer / videographer during this event.

Signed: ......

GIFSC USE ONLY
Date received
Entry number
PayPal Verified

Programme Content Sheet

THIS FORM MUST BE RETURNED NO LATER THAN 9thAPRIL 2018

Please fill in with type or write in capitals letters. PLEASE USE THE OFFICIAL ELEMENT CODES

Time* / Elements
1
2
3
4
5
6
7
8

*Time during Program

Signed:...... Date: ......

Email:

PLEASE NOTE: INCOMPLETE ENTRY FORMS WILL BE RETURNED AND THE WHOLE ENTRY FORM WILL BE REJECTED WITHOUT THE SKATER BEING REGISTERED AND NOT ACCEPTED