SA Skate 2021 Entry Form

SA Skate 2021 Entry Form

Must be submitted by 5 July 2021
Date at 01/07/2019 ***THIS IS HIDDEN ON FORM***

DayMonthYear
Date
Skater name*

First NameMiddle NameLast Name
Skater partner name (if required)

First NameMiddle NameLast Name
Skater DOB*

DayMonthYear
Please select the skater's DOB
Skater age at 01/07/2021
Skater partner DOB

DayMonthYear
Please select the skater's DOB
Skater partner age at 01/07/2021
Coach name*

Deb BarrettTremayne BevanRobi ChalmersGeorge GalanisStephanie HuotRichard LaidlawBernadette MercurioRhianon BarberTeresa SinclairMelissa TysonAshley ColliverAshley StuartArielle JenningsKayla DoigKristen AvisOther
Skating division*
Skater's current test level*
Skater mobile number*
Skater email address*
example@example.com
I have approval from my coach to enter SA Skate 2021*

Yes
Skater state association*

SAISAWAISAACTISANSWISAISQISVFSATAS
Affiliated club*
Music details: title(s) and artist(s)*
- VOLUNTEERING
The competition cannot run without volunteers. Your help would be appreciated.

Please note that some roles, require a little bit of training. If you are interested, training can be arranged

Some of the roles are with the IJS, the computer system that the judges use.

If you are unsure of the roles please email secretary@saisa.org.au for further information
Volunteering roles (please choose 2 options)

Official Practice MusicOfficial Practice AnnouncingCompetition Music playerCompetition AnnouncerGate Marshall at ice entranceRunnerHospitalityRegistrationPresentation AssistantIJS Set Up CrewIJS Pack Up CrewAccountant Laptop operatorData Entry laptop operatorVideo Cutter laptop operatorCamera Operator

PAYMENT

Payment is by electronic funds transfer or over the counter deposit

BSB: 105-105
ACC: 389 743 040

Please add an easy identifier such as name and 'membership' or mobile number, birthday if only numerals are allowed.

Entry is not complete until payment has been made and is visible in the account

Division		Entry Fee ($ per skater)
Aussie Skate	Tiny Tots - Free Skate 4 Synchronized Pairs	75
ISA	Synchronized Pairs	60
ISA	Adult Preliminary Elementary Basic Novice Intermediate Novice Intermediate	120
ISA	Advanced Novice Junior Senior	145
Discounts	Second skater/event Third skater/event	Less 20 Less 30

Declaration

I agree to abide by the rules of this competition, of SAISA Inc and ISA Inc. I confirm that I meet the age test and eligibility requirements to enter this event.

SAISA Code of Conduct

Please click and read the SAISA code of conduct here

Media

I give permission for my performance to be included on the official DVD and official photographs

I have read and agree to the terms of the SAISA code of conduct*

Yes
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