SEND ENTRY AND FEE TO:

1
SEND ENTRY AND FEE TO Fuji Ice Palace Pte Ltd
2 Jurong East St 13 03-01
Jurong Entertainment Centre Singapore 609731
Tel [phone] Fax 6565
5957 Email diana_at_fujiice.com.sg
LOCAL / OVERSEAS TEAM
ENTRY FORM SKATE ASIA
WINTER CLASSIC 29 Nov. 3 Dec. 2007
Please Print
Name of Group/ Name for Program Book Coach Name
Home Rink Rink Phone No. Coach Email Address
City Country Phone No
USE ONE TEAM ENTRY FORM PER TEAM / PER ENTRY
Complete information signature is required.

• Synchronized Formation Compulsories
• Synchronized Formation Team
• Synchronized Skating Compulsories
• Synchronized Skating Team
• Synchronized Dance

• Production Team
• Pattern Team
• Kaleidoskate Team
• Team Compulsories __________ Level
• FS Synchro Team __________Level
  (indicate Freestyle 1-10)

• Family Spotlight
• Team Surprise

• Ensemble NEW !

Age Group Category will be determined based on
entries received for each event.
FEE PAYMENT Entries
must be received by FIP before 30 October 2007.
DOUBLE FEES APPLY AFTER 30 October
2007. All Team Entries SGD 25 Per Skater TOTAL
PAYMENT SGD _________________
There will be NO REFUNDS. All memberships must be
current through event.
I declare that the information above is true,
that all skaters have a current Individual
Membership ISIAsia or ISI. I have informed all
team members that they skate at their own risk at
this competition, and hereby release ISIAsia,
ISI, the rink owner, management, staff
organizers from all liability for any accidents
or injury.
Coach Signature
Date
OFFICIAL USE ONLY PAYMENT
AMOUNT Date Received