H	Skateland Northridge	SC Champ D&F Entry Sheet	Entry from:	_________________________	
O	18140 Parthenia Street	Contest: April 17, 2016	Email:	_________________________	
S	Northridge, CA 91325 	Fax Due: Mon Apr 4   Pmt Due: Apr 6		FAX to: 714-994-2536	
T	(818) 885-7655	Info: www.scal-sk8.org			
NAME	Amtr
Card	M/F		Creative			Quartet	Precision/Show	Payment	
			1	2	1	2	1	2	1	2	1	2	1	2	$15	$15+	Tot	

																		

																		

																		

																		

																		

																		
Please see the Event List on the next page	TOTAL
THIS PAGE		
Pay to: Northridge Competitive Team
Mail to: Northridge Competitive Team
C/O Linda DeFilippo
25523 Via Ventana
Valencia, CA 92381	TOTAL AMOUNT ENCLOSED		

Discipline	Code	Event	Code	Event	Code	Event	
Creative	EA	Elementary A	OA	Open A	OB	Open B	
	YI	Youth International					
Quartets	QT	Quartets					
							
Precision /
Show	OP	Open Precision	SP	Senior Precision			
	SS	Small Show	LS	Large Show			

For this contest, use the skater’s age as of January 1, 2016.