2011 Skate Cleveland Hosted by the Winterhurst Figure Skating Club

Sanctioned by (36190):

DATE: September 10, 2011

CHIEF REFEREE: James Hebert

CHIEF ACCOUNTANT: Shirley Rego

LOCATION: Serpentini Arena--Winterhurst, 14740 Lakewood Hts. Blvd Lakewood, OH 44107 Rink Phone (216)

529-4400

ARENA FACILITIES: There are two ice surface measuring 85’ x 200’. Both rinks will be in use for the Skate Cleveland

Competition. All events will be at Winterhurst Ice Rink, which has dressing rooms, concession and

parking.

COMPETITION CHAIR: Kristy Brickel Mobile: (440)864-5230 E-Mail: kristinebrickel@yahoo.com

RULES: The competition will be conducted in accordance with the rules set forth in the current edition of the

USFS rulebook including changes from the 2011 Governing Council. Short programs will be those

as listed for the 2011-2012 season.

ELIGIBILITY: The competition is open to all eligible registered members of the USFSA. Test status is based as

of August 1, 2011. Single skaters may skate at their free skate level or one level higher (except

where noted) but not both. Skaters may not compete below their test level after August 1, 2011. All

events are final rounds. Juvenile level and above will be determined by random draw. All checks

(fees) must be cleared and release forms received prior to skater’s events.

FEES: ALL INDIVIDUAL EVENTS: $80.00 Per Person (1ST

EVENT)-IJS

$40.00 Per Person (2ND

EVENT)-IJS

$65.00 Per Person (1ST

EVENT)-6.0

$30.00 Per Person (2ND

EVENT)-6.0

$20.00 Per Person (EACH ADDITIONAL EVENT)

SOLO DANCE EVENTS: $65.00 Per Person for 2 dance events

$30.00 Per Person (EACH ADDITIONAL EVENT)

REGISTRATION: APPLICATION MUST BE POSTMARKED AUGUST 1, 2011

Skater and Coaches schedules will be posted on the web at: www.winterhurstfsc.com and

www.clevelandskating.com , and www.sk8stuff.com

Checks returned for non-sufficient funds will be assessed a $25.00 fee. Payment of the fee will be

required before skater is allowed to participate in practice ice or events.

Full refunds including practice ice are available if withdrawal is prior to August 1, 2011. After August 1, 2011, entry refunds are only available if the competition is not held. There will be NO medical refunds given. Please contact Kristy Brickel at kristinebrickel@yahoo.com with any questions.

An official bulletin board will be in the lobby of the arena near Skater Registration. Posting of

schedules and announcements there will constitute official notice to competitors, coaches and

officials. Check this upon arrival.

PRACTICE ICE: There will be practice ice available in ½ hour sessions at a cost or $12.00/session. See ―Practice

Ice Application‖. No music will be played. All practice will be held at Serpentini Arena--Winterhurst.

REGISTRATION: The official registration desk will be located in the lobby of the arena. Competitors must check in at

least 1 hour before their event.

MUSIC: Music will be reproduced through the arena sound system from CDs furnished by each competitor.

Music will be provided for compulsory dance. All music must be turned in properly labeled to

registration. All skaters should have appropriate backup CDs with them. Please note only CDs will

be accepted.

EVENTS/ AWARDS: Participants will receive medals for 1st through 3

rd place.

JUDGING SYSTEM:

PROGRAM CONTENT:

The International Judging System (IJS) will be used in calculating the official results for Intermediate,

Novice, Junior, and Senior Singles short and long programs and Juvenile free skate. The ―6.0‖

judging system will be used for all remaining events and levels. You should expect additional time

needed by accounting to process and post event results.

Competitors in IJS events are required to submit a planned program content sheet. The PPCS is to

be completed online no later than AUGUST 29TH, 2011. For those who do not submit the

planned program content sheet online by August 29TH, a $25 processing fee will be incurred.

Please note that any PPCS submitted by paper, regardless of date, will incur a $25 processing

fee. Once entered, PPCS may be updated online at any time as often as is desired without

cost-but no later than August 29TH, 2011.

To find the PPCS form go to www.usfigureskating.org; Click on Members Only and Log in

with your USFS # and password. Under Event Registration click on Online Event Registration;

Click on Event Manager and then Program Content. Scroll down to locate Skate Cleveland and

click on Add new form. Both long and short forms are on the same page so be sure to scroll

to the right to register both programs. Then select your discipline and level. If you are

competing at two different levels (ie- Novice Long and Junior Short) you will need to register

both programs on the long form. The chief accountant will sort the PPCS into the appropriate

level. If you are having difficulty with registering your PPCS please contact USFS.

VIDEO / CAMERA: Action Photos and Video will be available from Moto Photo Photography. Personal videotaping

may only be done from the stands with hand-held cameras -–no lights, tripods or taping permitted at

rink side. Photographs may be taken of the skater while performing. NO FLASH PHOTOGRAPHY.

SCHEDULE OF

EVENTS:

The schedule of events and practice ice schedule will be posted at our website,

www.winterhurstfsc.com, www.clevelandskating.com, and www.sk8stuff.com when it becomes

available. NO ADMISSION FEE WILL BE CHARGED FOR ANY EVENT.

INQUIRIES:

LOCATION OF RINK:

Contact Competition Chair listed above or go to our website: www.winterhurstfsc.com

The Serpentini Arena—Winterhurst is at the corner of Warren Road and Lakewood Hts. Boulevard.

The parking entrance is past the rink. Parking at the rink is limited. Parking is also available on the

streets close to the rink, except where there are No Parking signs. It is easily accessible from I-90

and I-71.

HOST HOTEL: The Host hotel is The Hampton Inn—Westlake located at I-90 & Crocker/Bassett Rd., Westlake, OH.

Please tell the hotel that you are with Skate Cleveland when making reservations. 440-892-0333.

COMPETITON EVENTS

WELL BALANCED SINGLES FREE SKATING Skaters may skate at their highest Free Skate level passed or one level higher.

Duration + or – 10 seconds

No Test 1 ½ Minutes: (3721) Must not have passed the Pre-Preliminary Free Skating Test. Maximum of five jump elements. No Axels or double

jumps are allowed. Maximum of two spins of a different nature. One step sequence utilizing one-half the ice surface.

Pre-Preliminary A 1 ½ Minutes: (3711) Must have passed the Pre-Preliminary Free Skating Test and no higher. May not include Axels, double

jumps, or flying spins.

Pre-Preliminary B 1 ½ Minutes: (3711) Must have passed the Pre-Preliminary Free Skating Test and no higher. May include Axels. May not

include double jumps or flying spins.

Preliminary A 1 ½ Minutes: (3701) Must have passed the Preliminary Frees Skating Test and no higher. May include Axels. May not include double

jumps or flying spins.

Preliminary B 1 ½ Minutes: (3701) Must have passed the Preliminary Free Skating Test and no higher. May include Axels and up to two different

double jumps which may be repeated only in combination. Flying spins are allowed.

Pre-Juvenile 2 Minutes: (3691) Must have passed the Pre-Juvenile Free Skating Test and no higher.

Juvenile 2:15 Minutes: (3681) Must not have reached the age of 14 years old as of closing date. Open to skaters who have passed the Juvenile

Free Skating Test and no higher.

Open Juvenile 2:15 Minutes: (3681) Must be 14 years old/older as of closing date. Must have passed the Juvenile Free skating Test and no higher.

Intermediate 2 ½ Minutes: (3672) Must have passed the Intermediate Free Skating Test and no higher.

Novice Ladies 3 Minutes, Men 3 ½ Minutes: (3663) Must have passed the Novice Free Skating Test and no higher.

Junior Ladies 3 1/2 Minutes, Men 4 Minutes: (3653) Must have passed the Junior Free Skating Test and no higher.

Senior Ladies 4 Minutes, Men 4 ½ Minutes: (3643) Must have passed the Senior Free Skating Test.

Adult Events are open to skaters who are 21 years or older.

Pre-Bronze 1:40 Minutes Max: (3806) Must have passed the Adult Pre-Bronze or no higher than Pre-Preliminary Free Skating Test.

Bronze 1:40 Minutes Max: (3801) Must have passed the Adult Bronze FS or the Preliminary Free Skating test

Silver 2:10 Minutes Max: (3791) Must have passed the Adult Silver or no higher than Pre-Juvenile Free Skating Test (Juvenile FS if passed before

Oct. 1, 1994).

Gold 2:40 Minutes Max: (3781) Must have passed the Adult Gold or no higher than Juvenile Free Skating Test.

MIXED PAIR FREE SKATING Skaters may skate at their highest Free Skate level passed or one level higher.

Duration + or – 10 seconds, *denotes IJS

Pre-Juvenile 2 Minutes: (4091) Must have passed Preliminary but not Juvenile Pair Test.

*Juvenile 2:30 Minutes: (4081) Must have passed the Juvenile but not Intermediate Pair Test.

*Intermediate 3 Minutes: (4071) Must have passed the Intermediate but not Novice Pair Test

*Novice 3:30 Minutes: (4062)Must have passed the Novice but not Junior Pair Test

*Junior 4 Minutes: (4052) Must have passed the Junior but not Senior Pair Test

*Senior 4 ½ Minutes: (4042) Must have passed the Senior Pair Test

TEST TRACK FREE SKATING Skaters may enter EITHER the test track free skate program or the well-balanced track free skate program but NOT both during the same non-

qualifying competition. Competitors will skate to music of their choice, vocal music permitted. The 6.0 judging system will be used for all Test Track

events. Deductions WILL be made for skaters including technical elements not permitted in the event description: From EACH mark for each

technical element included that is not permitted on the event description, From the technical mark for each extra or lacking element, and For any spin

with less than required revolutions. Duration + or - 10 seconds.

LEVEL JUMPS SPINS STEPS QUALIFICATIONS

Limited

Beginner

Time:

1:30 +/-10

Jumps with not more than ½ rotation (front

to back or back to front).

Jump sequences are allowed.

Maximum 5 jump elements

2 Upright spins, no change of

foot. (Min. 3 revolutions)

Connecting moves &

steps should be

demonstrated

throughout program

May not have passed tests

higher than USFS Basic Skills

free skate badge tests

Beginner

Time:

1:30 +/-10

Jumps with not more than ½ rotation (front

to back or back to front). Single rotation

jumps: salchow & toe loop only. Jump

combinations & sequences allowed.

Maximum 5 jump elements

2 Upright spins, change of foot

optional. (Min. 3 revolutions)

Connecting moves &

steps should be

demonstrated

throughout program

May not have passed tests

higher than USFS Basic Skills

free skate badge tests

Pre-Preliminary

Time:

1:30 +/-10

Jumps with not more than ½ rotation (front

to back or back to front including half-loop).

Single rotation jumps: salchow, toe loop and

loop jump only. Jump combinations or

sequences with above jumps allowed. Max 5

jump elements

2 spins held in 1 position only of

a different nature, no change of

foot. (Min 3 revolutions & no

flying spins)

Connecting moves &

steps should be

demonstrated

throughout program

May not have passed higher

than USFS Pre-Preliminary

free skate test

Preliminary Time:

1:30 +/- 10

Jumps with not more than 1 rotation (no

Axels). Jump combinations or sequences are

allowed. Maximum 5 jump elements.

2 spins of a different nature,

combination spins allowed.

(Min 3 revolutions each & no

flying spins)

Connecting moves &

steps should be

demonstrated

throughout program

May not have passed higher

than USFS Preliminary free

skate test

PreJuvenile Time:

2:00 +/- 10

Any single jumps and jump combinations or

sequences with not more than 1 rotation.

(No Axels). Max 5 jump elements.

2 spins in any position (min 3

revs), 1 must be combination

spin with 1 change of foot (min

3 revs each foot or 6 total revs),

No flying spins

1 step sequence straight

line, circular, or

serpentine fully utilizing

ice surface

May not have passed higher

than USFS Pre-Juvenile free

skate test

Juvenile

Time:

2:15 +/- 10

Any single jumps and jump combinations or

sequences with not more than 1-1/2

rotations. (Axel permitted). Max 5 jump

elements.

2 spins in any position (min 4

revs), 1 must be combination

spin with 1 change of foot (min

4 revs each foot). May include

flying spins.

1 step sequence straight

line, circular, or

serpentine fully utilizing

ice surface

May not have passed higher

than USFS Juvenile free skate

test

Intermediate

Time:

2:30 +/- 10

Any single jumps. Double jumps may only be

double salchow or double toe loop. Jumps

combinations & sequences allowed. Max 6

jump elements

2 spins in any position (min 4

revs), 1 must be combination

spin with 1 change of foot (min

4 revs each foot). May include

flying spins.

1 step sequence straight

line, circular, or

serpentine fully utilizing

ice surface

May not have passed higher

than USFS Intermediate free

skate test

Novice

Time:

Ladies

3:00 +/-10

Men

3:30 +/-10

Any single jumps. Double jumps may only be

double salchow, double toe loop and double

loop. Jumps combinations & sequences

allowed. Max: 6 jump elements-ladies; 7

jump elements-men

3 spins in any position (min 6

revs), 1 must be combination

spin with at least 1 change of

foot (min 5revs each foot). May

include flying spins.

1 Step or spiral sequence

(See rule #3660 for

description)

May not have passed higher

than USFS Novice free skate

test

Junior

Time:

Ladies 3:30 +/-10

Men 4:00 +/- 10

Any single jumps. Double jumps may only be

double salchow, double toe loop, double loop

& double flip. Jumps combinations &

sequences allowed. Max 7 jump elements for

ladies & 8 jump elements for men

3 spins-1 must be flying spin, a

solo spin (6 revs each) and a

combination spin consisting of

all 3 positions and 1 change of

foot (min 2 revs in each position

& min 5 revs each foot)

1 step sequence of

advanced difficulty

covering the full ice

surface.

(See rule # 3650 for

description)

May not have passed higher

than USFS Junior free skate

test

Senior

Time:

Ladies 4:00 +/-10

Men 4:30 +/-10

At least 4 different double jumps, one must

be double lutz. Jumps combinations &

sequences allowed. Max 7 jump elements for

ladies & 8 jump elements for men.

Spins (min 6 revs on all solo

spins)-1 must be flying spin, 1

solo spin, 1 spin combination

consisting of all 3 positions & 1

change of foot (min 2 in each

position & min 5 revs on each

foot)

Men:

2 different step

sequences

Ladies:

1 step sequences and 1

spiral sequence

(see rule # 3640 for

description)

Must have passed at least the

USFS Junior free skate test

COMPULSORY MOVES Skated on ½ ice surface. Elements can be skated in any order. Deductions will be taken for additional elements. Test requirements are the same as

free skate events. Times are Maximums.

No Test: 1 Minute 1. Waltz Jump

2. ½ jump of choice

3. Forward or Backward Spiral

4. Forward two or one-foot spin (free leg optional)

Beginner: 1 Minute 1. Loop Jump

2. Jump combination to include a toe-loop (may not use Loop or Axel)

3. Spiral sequence must use forward and backward spiral (Ina Bauers, spread eagles, lunges or shoot the ducks

can be included)

4. Solo sit or camel spin (3 revs)

Pre-Preliminary: 1:15 Minutes 1. Flip jump

2. Single-single jump combination

3. Split jump

4. Spiral Sequence must use a forward and backward spiral (Ina Bauers, spread eagles, lunges, or shoot the

ducks can be included)

5. Sit spin (3 revs)

Preliminary: 1:15 Minutes 1. Single Jump of choice

2. Single-single jump combination

3. Camel spin

4. Combination spin with one change of position, no change of foot

5. Straight line or diagonal step sequence

Pre-Juvenile: 1:15 Minutes 1.Axel

2. Lutz/loop combination jump, no turns or steps in between

3. Camel spin (3 revs)

4. Front to back scratch spin, exit on spinning foot (4 revs/foot)

5. Straight line or diagonal step sequence

Adult Pre-Bronze/Bronze: 1. Salchow

1:15 Minutes 2. Waltz jump/toe loop combination

3. Upright scratch spin (3 revs)

4. Outside Spiral

5. Straight line or diagonal step sequence

Adult Silver/Gold: 1. Flip or Lutz jump

1:15 Minutes 2. Waltz jump/ loop jump combination

3. Upright back scratch spin (3 revs)

4. Camel or sit spin (3 revs)

5. Straight line or diagonal step sequence

SHORT PROGRAMS To be skated on the full ice surface to the music of skater’s choice; * denotes IJS Event

Times listed are maximums

Juvenile: 2 Minutes:

1. Single/Single or Double/Single or Single/Double Combination (no Axel)

2. Axel

3. Double jump of skater’s choice. May not repeat the jump done in combination

4. Solo spin (min. of 4 revs, no change of position, no fly)

5. Combination spin with only once change of foot and one change of position (min. 4 revs each foot)

6. Step sequence (straight line, circular, or serpentine)

Open Juvenile: 2 Minutes: Same as above

*Intermediate: 2 Minutes: 2011-2012 Short Program described in USFS rule book (3671)

*Novice : 2:30 Minutes: 2011-2012 Short Program described in USFS rule book (3661 and 3662)

*Junior: 2:50 Minutes: Requirements can be found at usfigureskating.org (3651 and 3652)

*Senior : 2:50 Minutes: 2011-2012 Short Program described in USFS rule book (3641 and 3642)

COMPULSORY SPIN EVENT Beginner-Senior will present a program without music with the spins specified for their level. Program times are maximums.

Test requirements are the same as free skate levels. All programs are completed on ½ ice surface. One footwork sequence allowed.

Beginner: 1:00 Minute Max: 1. Forward one-foot spin

2. Two-foot spin

3. Sit spin (all spins 3 revs)

Pre-Preliminary: 1:00 Minute Max 1. Forward one-foot spin

2. Camel spin

3. Sit Spin (all spins 3 revs)

Preliminary: 1:15 Minutes Max: 1. One-foot scratch spin

2. One-foot back spin, entry opt

3. Forward camel to forward sit spin combination (3 revs min solo; 3 revs min in each position)

Pre-Juvenile: 1:15 Minutes Max: 1. Camel spin

2. Forward to backward sit spin

3. Spin combination with only one change of foot and one change of position (3 revs min solo; 3 revs min each

foot combo)

Juvenile : 1:15 Minutes Max: 1. Back spin (position optional)

2. Ladies: Layback or attitude/Men: Forward camel spin

3. Creative spin combination (number of changes is free). Emphasis is on originality combined with quality

spinning technique (4 revs min; 4 revs each foot combo).

Intermediate: 1:30 Minutes Max: 1. Forward sit to backward sit spin

2. Flying camel

3. Creative spin combination , at least one change of foot and one change of position, emphasis is on originality

combined with quality spinning technique (5 revs min solo; 5 revs min each foot combo)

Novice: 1:30 Minutes Max: 1. Forward camel spin to backward camel spin

2. Ladies: Layback spin/Men: cross foot spin

3. Creative spin combination, at least one change of foot and one change of position Emphasis is on originality

combined with quality spinning technique (6 revs min; 6 revs each foot combo).

Junior: 1:40 Minutes Max: 1. Flying Spin

2. Ladies: Layback spin/Men: Cross foot spin

3. Creative spin combination, at least one change of foot and one change of position Emphasis is on originality

combined with quality spinning technique (8 revs min; 8 revs each foot combo).

Senior: 1:40 Minutes Max: 1. Flying spin (optional takeoff and landing position)

2. Creative solo spin (original variation on a standard position)

3. Creative spin combination, at least one change of foot and one change of position Emphasis is on originality

combined with quality spinning technique (8 revs min; 8 revs each foot combo).

SHOWCASE Skaters to enter at their last Free Skate level passed or one level higher. Beginner through Senior and Adult levels will skate an

artistic program. Each competitor is to select his/her own music. Vocal music may be used. There are no required elements in

this event. Emphasis is placed on the theatrical and entertainment value of the skater’s performance, rather than on the technical

elements. The individual event durations are maximum times and are based on the 2011 National Showcase time guidelines which may vary

significantly with other area competitions. Costumes and props are allowed. Props are limited to those that the skater can carry or push onto the ice

unassisted, The set-up cannot take more than 30 (thirty) seconds. No flame or smoke, wet mops, whipped or shaving cream, or any

substance that may alter the ice in any way. No cap guns or loud noises. Levels may be combined due to lack of entries. This event may be

judged in combination with guest judges.

Skaters placing fourth and higher in Preliminary and higher artistic/showcase solo events, including adult events, may be qualified to enter the next

National Showcase. For more information, contact Melissa Bowman, National Vice Chair for National Showcase at patinage_tx@verizon.net.

CATEGORY

DURATION (Max.)

ELIGILIBITY

BEGINNER 1 min. 40 sec. May not have passed Any Free Skate Test

PRE-PRELIMINARY 1 min. 40 sec. May not have passed higher than Pre-Preliminary Free Skate Test PRELIMINARY

1 min. 40 sec. May not have passed higher than Preliminary Free Skate Test

PRE-JUVENILE

1 min. 40 sec.

May not have passed higher than Pre-Juvenile Free Skate Test

JUVENILE

2 min. 10 sec.

May not have passed higher than Juvenile Free Skate Test

INTERMEDIATE

2 min. 10 sec.

May not have passed higher than Intermediate Free Skate Test

NOVICE

2 min. 10 sec.

May not have passed higher than Novice Free Skate Test

JUNIOR/SENIOR

2 min. 40 sec.

Must have passed Junior or Senior Free Skate Test

ADULT

1 min. 40 sec.

Must have passed no higher than Adult Silver or Juvenile Free Skate Test

ADULT MASTERS 1 min. 40 sec. Must have passed Adult Gold or Juvenile Free Skate Test MINI PRODUCTION

ENSEMBLE

3 min. 10 sec.

Theatrical performance by three to seven members. Please see page 15 of

announcement or additional details

MUSIC INTERPRETATION Skaters must enter at their current Free Skate level passed or one level higher. Categories will include Preliminary, Pre-Juvenile, Juvenile,

Intermediate, Novice, and Junior/Senior. Music Interpretation consists of a single program composed entirely by the skater demonstrating ability to

interpret music by combining moves, turns, footwork, jumps and spins. A Warm-up period consists of 1 minute without music followed by 4 minutes

with the selected music played twice. Skaters will then leave the ice and be taken to a locker room where there will be no communications with

coaches or parents. Each skater will hear the music one more time with his/her back to the ice at rink side while the prior competitor is performing.

The judges give one mark only, and the emphasis is on interpretation of the music. This event may be judged in combination with guest judges.

Levels may be combined due to lack of entries.

The duration of music will be 1:30 minutes maximum for all levels.

SOLO DANCE Judging: Performance will be judged using the 6.0 judging system with two marks given for each performance.

Events:

Preliminary Pre- Bronze Bronze Pre-Silver Silver Pre-Gold Gold

Dutch Waltz

Rhythm

Blues

Cha-Cha

Fiesta

Tango

Hickory

Hoedown

Ten Fox

Fourteen –

step

Foxtrot

American

Waltz

Rocker

Foxtrot

Blues

Paso

Doble

Viennese

Waltz

Argentine

Tango

2011 Skate Cleveland Due August 1, 2011 / Sanctioned by USFS / Page 1 of 3

Name: Age: Birth Date:

Sex: M / F (circle one)

Address: Phone Home:

City, State, Zip: Work/Cell:

USFSA# Home Club: E-Mail Address:

Partner Name: ____________________ Partner USFSA# (Partner is required to submit a separate entry form)

Please check the events you are entering: Free Skate Compulsory Moves Short Program Mixed Pairs Individual Showcase Spins

Only

Music Interpretation Solo

Dances

No Test

No Test

Juvenile

Pre-Juvenile

Beginner

Beginner

Preliminary

Dutch Waltz

Pre-Preliminary A

Beginner

Open Juvenile

Juvenile

Pre-Preliminary

Pre-Preliminary

Pre-Juvenile

Rhythm Blues

Pre-Preliminary B

Pre-Preliminary

(IJS) Intermediate

Intermediate

Preliminary

Preliminary

Juvenile

Cha-Cha

Preliminary A

Preliminary

(IJS)

Novice

Novice

Pre-Juvenile

Pre-Juvenile

Intermediate

Fiesta Tango

Preliminary B

Pre-Juvenile

(IJS) Junior

Junior

Juvenile

Juvenile

Novice

Hickory Hoedown

Pre-Juvenile

Adult

Pre-Bronze/ Bronze

(IJS)

Senior

Senior

Intermediate

Intermediate

Junior/Senior

Ten Fox

Juvenile (IJS)

Adult Silver/Gold

Test-Track Free Skate

Novice

Novice

Fourteen Step

Open Juvenile

Limited Beginner

Test Track

Junior/Senior

Junior

Foxtrot

Intermediate (IJS)

Pre-Preliminary Test

Track

Adult

Senior

Rocker Foxtrot

Novice (IJS)

Preliminary Test Track

Adult Masters

American Waltz

Junior (IJS)

Pre-Juvenile Test Track

Mini Production

Blues

Senior (IJS)

Juvenile Test Track

Paso Doble

Adult Pre-Bronze

Intermediate Test Track

Argentine Tango

Adult Bronze

Novice Test Track

Viennese Waltz

Adult Silver

Junior Test Track

Adult Gold

Senior Test

Track

Individual Showcase List Theme/Music:

ENTRY FORM 2 of 3

Competitor’s Name:

Home Club:

Coach’s signature:

Please Print:

Coach Name:

Coach phone #:

( )

Coach e-mail address:

Highest test Passed

(as of 8/1/11)

Free Skate Dance

Entry Fee:

$80 for 1st IJS event; $65.00 for 1st 6.0 event; $65.00 for 2 solo dances: __________

$40 for 2nd IJS event; $30.00 for 2nd 6.0 event : _________

$30 Per Person 3rd dance: __________

$20.00 for each additional event: __________

Total Entry Fee Enclosed: $___________

Make checks payable to Winterhurst Figure Skating Club

Mail completed Entry Forms along with the Medical Release to :

Kristy Brickel 34114 Crown Colony Dr. Avon, OH 44011

Certificate of Eligibility: I hereby approve this entry and certify that this skater is a member in good standing of this club, is an

amateur in accordance with USFSA rules, and to the best of my knowledge is eligible to enter the specified events.

Signature:_________________________________________ Title:__________________________

Executive Board Member, Test or Membership Chair

Competitor certification am eligible under the rules of the USFSA to enter the events(s) checked, I have completed

both sides of this form, plus the medical release form, and understand that I will be charged a ―change fee‖ to modify my

application after the deadline date.

Signature____________________________Date:_______Signature:___________________Date______

Competitor (If under 18 yr. parent/guardian)

RELEASE FORM MUST BE SENT WITH ENTRY FORM FOR ALL EVENTS

ENTRY FORM 3 OF 3

Skater/Parent Guardian Section

SKATER: I agree to conduct myself, both on and off the ice, in a manner that will reflect favorably upon the sport of figure skating, and that is

consistent with the high standards of the sport. I agree to respect the person and property of others.

SKATER/PARENT GUARDIAN: I understand separately and jointly that the USFS, the Winterhurst Figure Skating Club, Serpentini Arena—

Winterhurst, the organizers of this competition, their appointees and employees undertake no responsibility for damages or injuries suffered by the

competitor. As a condition of and in consideration of acceptance of the skater’s entries or participation therein, all entrants, their parents and

guardians and officials shall be deemed to agree to assume all risks of injury to their person and property resulting from, caused by, or connected

with, the conduct and management of the competition, and to waive and release any and all claims which they may have against any officials, the

USFSA, the club holding the competition and its officers, and their entries shall be accepted only on such condition (3222) .

Skater’s Signature______________________________ ____________Date_________________________

Parent/Guardian’s Signature___________________ ___ ____________Date_________________________

(If skater is under age 18 then this must be signed)

AUTHORIZATION FOR EMERGENCY MEDICAL TREATMENT

In the event I am unavailable, I hereby give permission for any emergency medical treatment for ________________________________________(please print full and complete legal name of skater) to the direction of the competition committee of this competition. I understand that these people have no formal medical background but will seek care and treatment as they would their own child. I, the undersigned, will assume and take sole responsibility for all financial obligations arising out of the treatment of the above named skater.

I, the undersigned, will hold the USFSA, Winterhurst Figure Skating Club, the organizers, and their appointees or employees harmless from any claim

rising out of any aid afforded the above named skater, be the claim of type, quality or timelessness of the aid provided.

I further indemnify all aforementioned parties from any claims any other parties of standing might have with regards to aid provided to the above

named skater.

Skater’s Signature____________________________________________________Date_______________________

Parent/Guardian’s Signature____________________________________________Date_______________________

(If skater is under age 18 then this must be signed)

Skater’s Physician Name__________________________________________Phone Number___________________

Emergency medical information (allergies, pre-existing conditions, allergic to other medicines):__________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

Name of Insurance Company______________________________________________________________________

Policy Number_________________________________Name of Insured____________________________________

2011 Skate Cleveland

MINI PRODUCTION ENSEMBLE COMPETITION QUALIFY FOR NATIONAL SHOWCASE 2012

Entry Fee -$50 per ensemble (Make check payable to WFSC)

SPECIFICS: There is no minimum time requirement Events will not be segregated by gender. There will be a 0.2 deduction for each 5 seconds in excess of the maximum performance and prop placement times. Timing starts with the first motion of the body and ends when motion stops. Props and scenery must be placed and removed by ensembles, in two minutes. No assistance is allowed; violations will be penalized. Music with vocals is allowed WARM-UPS: Mini Production Ensembles will warm up together. When an ensemble is in position to start before the warm up concludes, all will freeze in place and the designated individual will raise one arm to signal the start of the performance music.

THIS IS CONSIDERED A SEPARATE EVENT AND THE COST IS $50 PER GROUP ENTRY.

Any additional questions, please contact Kristy Brickel at kristinebrickel@yahoo.com

(Make check payable to Winterhurst FSC)

Please cut here and fill out entry form below

MINI PRODUCTION ENSEMBLE APPLICATION (ENTRY FEE -$50 PER TEAM)

Team Name: Home Club:__________________

Parent Team Leader ______________________ Phone # ___- ____-_______

Parent Team Leader Signature (Parent has verified team eligibility with Home Club):____________________________

A skater must include a Release Form & Official Entry From, both sides completed, in this application if this is their only

event. Please note: this event is subject to cancellation by the referee if competition does not have enough time for

event to take place.

Skaters Name (Please Print) USFSA # Highest Free Skate Test Passed

1.

2.

3.

4.

5.

6.

7.

PRACTICE ICE APPLICATION

Practice ice sessions will run at 30 minute intervals on a first-come, first-pay, first-serve basis with a fee of $12.00 per

session. Additional practice ice may be added if necessary. No music will be played. Please send a separate check to

the address listed below. The schedule of events and practice ice schedule will be posted at our website at

www.winterhurstfsc.com when it becomes available. Practice Ice may also be purchased at the rink if space is

available; please check at the registration desk for availability.

PRACTICE ICE REQUEST FOR:

Name:________________________________ Home Club:__________________________

Address:_____________________________ Phone: ( )_________________________

City:_________________________________ State:________ Zip:_________________

Email address: ________________________ Schedule will be e-mailed to entrants.

Must be completed:

LEVEL: Free Skate _________________CM/Short _____________Solo Dance___________

Number of Sessions requested___________ Total Cost @ $12.00/Session $___________

In addition, Freestyle Ice is available throughout the day on Friday, September 9, 2011 beginning at 10am and

running through 6pm. Please contact the rink directly for exact times. The cost is $12 per hour or $7 for 1/2

hour. These sessions may not be reserved in advance.

Please indicate the number of practice sessions you would like in the following time blocks:

Saturday Morning Session 1 7:00-7:30am____________

Session 2 7:30-8:00am____________

Practice Ice request may be sent with the application or separately to:

Kristy Brickel 34114 Crown Colony Dr. Avon, OH

Please make checks payable to WFSC.

Practice ice schedule will be posted at www.winterhurstfsc.com .

PROGRAM ADVERTISEMENT FORM

The Winterhurst Figure Skating Cllub invites you to submit an acknowledgement for Skate Cleveland. In order for an

acknowledgement to be included in this year’s program, all camera-ready art should be submitted by August 15th.

If you have any questions please contact Kristy Brickel: Home: (440) 937-3290

E-Mail: kristinebrickel@yahoo.com

Don’t forget, personal acknowledgements are a great way to thank your coach and wish your favorite skater

“Good Luck”!

Organization, Business or Individual:

________

Contact Person:_________________________________________________________________

Address:_______________________________________________________________________

City: ________________________________________ State: __________ Zip:_______________

Daytime Telephone (_____)__________________ Evening Telephone (_____)_______________

PLEASE INDICATE DESIRED SIZE OF ADVERTISEMENT

Make checks payable to: Winterhurst FSC

FORMS WILL NOT BE ACCEPTED WITHOUT PAYMENT

Back Cover * ……………….…………………….….… $300.00

Inside Back Cover * ……….……...….………………...$200.00

Full Inside Page* …………..…………..…………….....$175.00

Half Page * …………….....…….….…...…………….…$100.00

Quarter Page *………..….…….…………….….…..$ 50.00

Standard Business Card * ……………………………………………………......$ 35.00

Deluxe Personal Gram – two lines (up to 60 characters) ……………………..$ 10.00

Standard Personal Gram – one line (up to 30 characters)………. ...…….…..$ 5.00

* Prices quoted are for camera ready art

Personal Grams are an inexpensive way for parents, grandparents and friends to wish their individual skater or

skating club Good Luck!

Line 1: ____________________________________________________________________(30 characters)

Line 2: ____________________________________________________________(Additional 30 characters)

All forms, artwork, and checks should be mailed to the following address before August 15, 2011:

Skate Cleveland 2011 Program Advertisement

c/o Kristy Brickel

34114 Crown Colony Dr.

Avon, OH 44011