H	Moonlight Rollerway	Beginner Contest Entry Sheet	Entry from:	_________________________	
O	5110 San Fernando Road	Contest: Nov 20, 2022	Email:	_________________________	
S	Glendale, CA 91204	Email Due: Mon Nov 7   Pmt Due: Nov 9	Email to:	victor@scal-sk8.org 	
T	(818) 241-3630	Info: www.scal-sk8.org	Or text: 	714-309-7362	
NAME	Age*	M/F	Dance	Figures	Loops	Freestyle	Creative		Payment	
			1	2	1	2	1	2	1	2	1	2	1	2	$20	$15+	Tot	

																		

																		

																		

																		

																		

																		

*Age is required.  Please see the Event List on the next page	TOTAL
THIS PAGE		
	TOTAL AMOUNT ENCLOSED		

Discipline	Code	Event	Code	Event	Code	Event	
Dance
	BD	Beginner Dance	ND	New Skater Dance	JEC	Juv El C Dance	
	FSC	Fr/Soph C Dance					
Figures	BFG	Beginner Figures	NFG	New Skater Figures	JEC	Juv El C Fig	
	FSC	Fr/Soph C Figures					
Loops	BL	Beginner Loops	JEC	Juv El C Loops	FSC	Fresh/Soph C Loops	
Freestyle	BFS	Beginner Freestyle	NFS	New Skater Freestyle	JEC	Juv El C Freestyle	
	FSC	Fr/Soph C Freestyle					
Creative	BC	Beginner Creative	NC	New Skater Creative	AC	Adult C Freestyle	

You MUST submit AGE.

For this contest, use the skater’s age as of January 1, 2023.