H	Holiday Skate Center	CA State Games D&F Entry Sheet	Entry from:	_________________________	
O	175 N. Wayfield St.	Contest: February 13-14, 2016	Email:	_________________________	
S	Orange, CA 92867	Fax Due: Sun Jan 24   Pmt Due: Sat Feb 6		FAX to: 714-994-2536	
T	(714) 997-5283	Info: www.scal-sk8.org	Or email to	Victora.reinhart@uhc.com	
NAME	AGE	M/F	Solo Dance	Creative	Team	Figures	Loops	Combined	Payment	
			1	2	1	2	1	2	1	2	1	2	1	2	$25	$15+	Tot	

																		

																		

																		

																		

																		

																		

Please see the Event List on the next page	TOTAL
THIS PAGE		
	TOTAL AMOUNT ENCLOSED		

Discipline	Code	Event	Code	Event	Code	Event	
Solo Dance	SI 	Senior – Intl.	JI	Junior – Intl.	YI	Youth – Intl.	
	SR	Senior – Domestic	JR	Junior – Domestic	SA	Sophomore A	
	FA	Freshman A	EA	Elementary A	JA	Juvenile A	
	P	Primary	NA	Novice A			
	A3	Adult 30+	A5	Adult 50+	AA	Advanced Adult	
	FSB	Fresh/Soph B	EB	Elementary B	NB	Novice B	
	FSC	Fresh/Soph C	SJ	Special, Juv-	SE	Special, Elem+	
Creative	OA	Open A	OB	Open B	EL	Elementary	
Team Dance	WC	Sr. World Class	JWC	Jr. World Class	JR	Junior	
	SA	Sophomore A	FA	Freshman A	FSB	Fresh/Soph B	
	EA	Elementary A	JEB	Juv/Elem B	JA	Juvenile A	
	NA	Novice A	NB	Novice B			
	A3	Adult 30+	A5	Adult 50+	AA	Advanced Adult	
Figures	P	Primary	JC	Juvenile C	JB	Juvenile B	
	JA	Juvenile A	EC	Elementary C	EB	Elementary B	
	EA	Elementary A	FSC	Fresh/Soph C	FSB	Fresh/Soph B	
	FSA	Fresh/Soph A	NB	Novice B	NA	Novice A	
	A3	Adult 30+	A5	Adult 50+	AA	Advanced Adult	
	JWC	Jr/JWC	WC	Sr. World Class			
Loops	JECL	Juv/Elem Circle	FSCL	Fresh/Soph Circle	EL	Elementary Loops	
	OL	Open Loops	AL	Advanced Loops			
Combined	FL	Figures & Loops	JWD	JWC/WC Dance & Free Dance	
	SL	JWC Short & Long	YID	YI Dance & YI Free Dance	

For this contest, use the skater’s age as of January 1, 2016.
Use the other entry form for Precision & Show.
Forward Spiral, Shoot the Duck and Bunny Hop is the req for Beginner Freestyle.
Pricing for Special Events – SJ & SE - will be $15.
Beginners will be split based on age.  If age is not provided, the skater will be put in the oldest age group.