Region 2, 3, 4, 5 Invitational Competition Registration Form

Region 2, 3, 4 & 5 Invitational Competition

February 7 & 8, 2026 - Pense, SK - Fill out the form carefully for registration. Entry deadline is January 5, 2026.
Skater Information
Skater Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Birth Date*

MonthDayYear
Gender*
Skater E-mail*
Skater Phone Number*

Area CodePhone Number
Skate Canada Number*
Home Club Name*
Coach Information
Coaches Name*
Coaches Phone Number*

Area CodePhone Number
Coaches Email*
example@example.com

Competitor Test Qualifications (Highest Passed)*

	Highest Passed
Freeskate Program
Freeskate Elements
Dance
Artistic

Events

Indicate the events to be entered. For Team Elements and Synchro, please see other entry forms.
STAR Freeskate
Additional STAR Freeskate
Skaters are able to add an additional free skate to their competition agenda as a short program if they are already competing star 6, 8, 10.
STAR Elements
STAR Artistic
STAR Solo Pattern Dance
Please choose A or B Step next
STAR Solo Pattern Step Choice
ADULT Freeskate
ADULT Artistic
COUPLES Pattern Dance
SPECIAL OLYMPICS Freeskate
SPECIAL OLYMPICS Solo Pattern Dance
Please choose A or B Step next
SPECIAL OLYMPICS Solo Pattern Step Choice
I am the Participant or Participants Guardian and confirm that the above information is complete and correct and has been has been verified by a Skate Canada Coach. *

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File Upload - Music - Please submit one file per event with the following file name "Skater Name, Category and Event (pattern dance, artistic, freeskate)". The start of the music must have less than two seconds of lead in. An additional USB must be kept rink side with the coach during the competition.

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Participant Release

By participating in this event, I consent to the known and foreseeable physical risks inherent in the sport of figure skating. These risks include but are not limited to; travel to and from the arena, ice conditions, equipment failure, falls, collisions with other participants and/or instructors, and facility conditions. In assuming these risks, I, the undersigned, forever release, for myself, my heirs, and any person acting on my behalf, the Host Club, Host Town/City and Skate Canada - Saskatchewan, and its directors, employees, volunteers, coaches, officials, instructors, independent contractors, agents and sponsors, from any claim arising from any illness of injury to my person as a result of my participation in this activity.
Participant's Name*
Date*

MonthDayYear
Date
Participant's Signature or if Participant is under the age of 18 years old, Parent/Guardian Signature*

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Entry Fees

Calculate your total below and indicate your method of payment below.
*
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First Event Registration
$80.00CAD

Additional Event Registration
$35.00CAD Quantity

Total

$0.00CAD
Please indicate how you will be paying the entry fees*

E-transfer to penseskateclub@gmail.comCheque made payable to Pense Skate Club and mailed to Box 351, Pense, SK S0G3W0
Should be Empty:

Region 2, 3, 4 & 5 Invitational Competition

Skater Information

Coach Information

Events

Participant Release

Entry Fees