Sunshine Artistic Challenge 2016
Saturday 16th January 2016
IceworldTM Boondall Olympic Ice Rink
2304 Sandgate Road
Brisbane Qld 4034
(Ice Surface 60m x 30m)
entry form - Singles
Closing date Friday 8th January, 5 pm
entry fees: $70 per skater.
if you do not give permission to take photos/videos, please tick box
Competitor DetailsSurname:
First Name: M / F
Address:
Email:
Date of Birth: / Age: / Division:
Phone: / Mobile:
State/Territory Association:
Club:
Coach/es:
competitor agreement
1. I/We confirm that I / we meet the test, age and other requirements of eligibility specified in the published rules of this event.
2. I/We agree to abide by the rules of this event, ISQ Inc. and ISA Incorporated.
3. I/We agree to be punctual for draws, practices, events and official ceremonies.
4. I/We agree to assume all risks of injury or loss for myself/ ourselves or, if a parent/guardian, on behalf of my child/ ward, and do hereby release and in all respects discharge and agree to hold harmless the conducting body, its officers, agents, employees and sponsors from any claim arising from injury or loss from participation in this event.
Competitor Signature (Parent/Guardian if under 18) ______Date______
Payment details
ENTRY FEES ($70 per skater) are due on or before the closing date of 5 pm 8th January 2016
Entry Fee Enclosed $______
Send completed entry form and payment to:
Competition Convenors
Boondall Figure Ice Skating Club
2304 Sandgate Road, Boondall Qld 4034
OR send by e-mail to
OR leave in the Club Letter Box inside the Coffee Shop at Boondall Iceworld. / * PAYPAL
Go to our websitewww.bfisc.org.au and click on Events
* Direct Deposit
Commonwealth Bank
BSB: 064 139 Acct: 00902314
Please Include skater’s surname with transfer details
Transaction Number ______
* Cheque or Money Order
Payable to ‘Boondall Figure Ice Skating Club’.
music details
Closing date 8th january 2016, 5pm
Event / DivisionName of Competitor
Date / Signature
Music Duration
Overall length not skating time Min/Sec
title of music
duration
include min/sec
composer(S)
orchestra/instrumentalist
title of disc/tape
track number
Music Details must be completed and submitted with Entry Form & Payment
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