Entry Form - ISU
Entry Form A
International Adult Figure Skating Competition Oberstdorf, Germany, 22nd-27th May 2017 (Close of Entries: 13th March 2017)
PERSONAL DETAILS female
Name
Birthdate (DD.MM.YYYY)
Federation
Nationality
Home Club
Street
City
email
Phone
B
Membership #
male
Coach
ZIP/Postal code - State
Fax
COMPETITION
I will compete in:
Ladies Single Skating
Pairs
Men Single Skating
Ice Dance
Name of Partner (Pairs events) - only one name may be entered
Name of Partner (Dance events) - only one name may be entered
Age Category I (born 1.7.1978 - 30.6.1988
Event and Level Singles
Masters Elite Single Skating
Pattern Dance
Masters Elite Pattern Dance
II (born 1.7.1968 - 30.6.1978
Masters Single Skating
Masters Pattern Dance
III (born 1.7.1958 - 30.6.1968
Gold Single Skating
Gold Pattern Dance
IV (born 1.7.1948 - 30.6.1958
Silver Single Skating
Silver Pattern Dance
V (born 1.7.1938 - 30.6.1948
Bronze Single Skating
Bronze Pattern Dance
Artistic Singles
Masters Elite Artistic Single Skating
Masters Elite Short Dance
Masters Artistic Single Skating
Masters Short Dance
Gold Artistic Single Skating
Adult Short Dance
Silver Artistic Single Skating
Pairs
Short Dance
Free Dance
Masters Elite Free Dance
Bronze Artistic Single Skating
Masters Free Dance
Masters Elite Pair Skating
Gold Free Dance
Masters Pair Skating
Silver Free Dance
Intermediate Pair Skating
Bronze Free Dance
Adult Pair Skating Pairs Artistic
Masters Elite Artistic Pair Skating Masters Artistic Pair Skating Intermediate Artistic Pair Skating Adult Artistic Pair Skating
Please send entry form to:
Deutsche Eislauf Union, Menzinger Str. 68, D-80992, Munchen Fax: +49 89 89120320 Email: [email protected] AND Sportstatten Oberstdorf, Stefan Betz, Rossbichlstrasse 2-6, D-87561, Oberstdorf Fax: +49 8322 700 511 Email: [email protected]
1
Entry Form C
International Adult Figure Skating Competition Oberstdorf, Germany, 22nd-27th May 2017 (Close of Entries: 13th March 2017)
ENTRY FEE
Fee per skater in single skating, pair skating and ice dance First Single Event
70 €
Second Single Event 40 €
First Pairs Event
45 €
First Dance Event
45 €
Second Pairs Event
35 €
Second Dance Event
35 €
Third Dance Event
25 €
The competition entry fee will not be refunded for any reason.
D
TRAINING PACKAGES AND PRACTICE ICE
Package 4 x 50 minutes technique in a group of 3-4 skaters 4 x 50 minutes free practice ice 1 x 30 minutes relaxing massage Please also reserve
E
TOTAL Entry Fees in €
x 50 minute (
Number of skaters (220 € per skater)
Training Package Dates: 16th-19th May 2017
per day) practice ice sessions (10.50 € per session) starting on
May 2017
TRANSPORTATION
I am interested in personal transportation upon arrival in Munich/Memmingen
Date of Arrival (DD.05.2017)
Arrival Time
Airport
Flight Number
Contact details
Name
F
Email Address
Number of Passengers
SEMINARS Technical Seminar (Singles) on Sat 20th May
18 €
Technical Seminar (Dance) on Wed 24th May
18 €
Technical Seminar (Pairs) on Thurs 25th May
18 €
Components Seminar on Sun 21st May
18 €
Total in €
- Technical Seminar divided into groups for Singles, Dance and Pairs - Technical rules and judging of technical elements - Components Seminar - Criteria and judging of the 5 components
G
BANQUET
To be held following the conclusion of competitions on Saturday 27th May 2017 Number of Participant Tickets (28 €)
Please send entry form to:
Number of Non-Participant Tickets (45 €)
Deutsche Eislauf Union, Menzinger Str. 68, D-80992, Munchen Fax: +49 89 89120320 Email: [email protected] AND Sportstatten Oberstdorf, Stefan Betz, Rossbichlstrasse 2-6, D-87561, Oberstdorf Fax: +49 8322 700 511 Email: [email protected]
Total in €
2
Entry Form H
International Adult Figure Skating Competition Oberstdorf, Germany, 22nd-27th May 2017 (Close of Entries: 13th March 2017)
GRAND TOTAL IN €
Entry Fees
Seminars
Training package & ice fees
Banquet
GRAND TOTAL Payment Information Bank Transfer If you pay by bank transfer you must enclose the receipt.
I
Credit Card
VISA
Mastercard
Card Number
Expiry Date
Cardholder Signature
Date
Validation Code
Declarations In accordance with ISU Rule 119 regarding Medical Insurance and ISU Rule 141 regarding Safety, the German Federation, the BLZ Oberstdorf and the ISU take no responsibility for liability with respect to bodily or personal injury or property loss or damage incurred by competitors or officials. Each entrant is expected to provide his/her own insurance. The organizer will provide medical services for all competitors and officials during practice and competition. I, the undersigned participant, intending to be legally bound, hereby certify that I am physically fit and have not been otherwise informed by a physician. It is my responsibility to notify the Organizer of any change in health condition between the date of the close of entries and the competition. I acknowledge that I am aware of all the risks inherent in figure skating and agree, on behalf of myself and my family, to assume those risks. As a condition of my participation in the International Adult Figure Skating Competition or any activities incident thereto, I hereby waive any and all rights to claims for loss or damages caused by the negligence, active or passive, of the ISU, the Deutsche Eislauf-Union e.V. and the BLZ Oberstdorf, and my entry shall be accepted only on the basis of this waiver. I have read, studied and understood the content and criteria of this form and I accept with my signature the abovementioned conditions. Participant's Signature: ________________________________ Signature of participant required and this waiver must be included in application package.
If one or more pages are missing your entry to the competition will be treated as invalid. You will receive your personal entry and order confirmation by return email.
Please send entry form to:
Deutsche Eislauf Union, Menzinger Str. 68, D-80992, Munchen Fax: +49 89 89120320 Email: [email protected] AND Sportstatten Oberstdorf, Stefan Betz, Rossbichlstrasse 2-6, D-87561, Oberstdorf Fax: +49 8322 700 511 Email: [email protected]
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Entry Form J
International Adult Figure Skating Competition Oberstdorf, Germany, 22nd-27th May 2017 (Close of Entries: 13th March 2017)
PLANNED PROGRAM CONTENT
Please submit a copy of this page for each event entered. For pairs and dance events it is sufficient if one partner fills in the following form
Name
Federation
Home Club
Event and Age Category
ELEMENTS IN ORDER OF SKATING
1 2 3 4 5 6 7 8 9 10 11 12
Please send entry form to:
Deutsche Eislauf Union, Menzinger Str. 68, D-80992, Munchen Fax: +49 89 89120320 Email: [email protected] AND Sportstatten Oberstdorf, Stefan Betz, Rossbichlstrasse 2-6, D-87561, Oberstdorf Fax: +49 8322 700 511 Email: [email protected]
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International Adult Figure Skating Competition Oberstdorf, Germany, 22nd-27th May 2017 (Close of Entries: 13th March 2017)
PERSONAL DETAILS female
Name
Birthdate (DD.MM.YYYY)
Federation
Nationality
Home Club
Street
City
Phone
B
Membership #
male
Coach
ZIP/Postal code - State
Fax
COMPETITION
I will compete in:
Ladies Single Skating
Pairs
Men Single Skating
Ice Dance
Name of Partner (Pairs events) - only one name may be entered
Name of Partner (Dance events) - only one name may be entered
Age Category I (born 1.7.1978 - 30.6.1988
Event and Level Singles
Masters Elite Single Skating
Pattern Dance
Masters Elite Pattern Dance
II (born 1.7.1968 - 30.6.1978
Masters Single Skating
Masters Pattern Dance
III (born 1.7.1958 - 30.6.1968
Gold Single Skating
Gold Pattern Dance
IV (born 1.7.1948 - 30.6.1958
Silver Single Skating
Silver Pattern Dance
V (born 1.7.1938 - 30.6.1948
Bronze Single Skating
Bronze Pattern Dance
Artistic Singles
Masters Elite Artistic Single Skating
Masters Elite Short Dance
Masters Artistic Single Skating
Masters Short Dance
Gold Artistic Single Skating
Adult Short Dance
Silver Artistic Single Skating
Pairs
Short Dance
Free Dance
Masters Elite Free Dance
Bronze Artistic Single Skating
Masters Free Dance
Masters Elite Pair Skating
Gold Free Dance
Masters Pair Skating
Silver Free Dance
Intermediate Pair Skating
Bronze Free Dance
Adult Pair Skating Pairs Artistic
Masters Elite Artistic Pair Skating Masters Artistic Pair Skating Intermediate Artistic Pair Skating Adult Artistic Pair Skating
Please send entry form to:
Deutsche Eislauf Union, Menzinger Str. 68, D-80992, Munchen Fax: +49 89 89120320 Email: [email protected] AND Sportstatten Oberstdorf, Stefan Betz, Rossbichlstrasse 2-6, D-87561, Oberstdorf Fax: +49 8322 700 511 Email: [email protected]
1
Entry Form C
International Adult Figure Skating Competition Oberstdorf, Germany, 22nd-27th May 2017 (Close of Entries: 13th March 2017)
ENTRY FEE
Fee per skater in single skating, pair skating and ice dance First Single Event
70 €
Second Single Event 40 €
First Pairs Event
45 €
First Dance Event
45 €
Second Pairs Event
35 €
Second Dance Event
35 €
Third Dance Event
25 €
The competition entry fee will not be refunded for any reason.
D
TRAINING PACKAGES AND PRACTICE ICE
Package 4 x 50 minutes technique in a group of 3-4 skaters 4 x 50 minutes free practice ice 1 x 30 minutes relaxing massage Please also reserve
E
TOTAL Entry Fees in €
x 50 minute (
Number of skaters (220 € per skater)
Training Package Dates: 16th-19th May 2017
per day) practice ice sessions (10.50 € per session) starting on
May 2017
TRANSPORTATION
I am interested in personal transportation upon arrival in Munich/Memmingen
Date of Arrival (DD.05.2017)
Arrival Time
Airport
Flight Number
Contact details
Name
F
Email Address
Number of Passengers
SEMINARS Technical Seminar (Singles) on Sat 20th May
18 €
Technical Seminar (Dance) on Wed 24th May
18 €
Technical Seminar (Pairs) on Thurs 25th May
18 €
Components Seminar on Sun 21st May
18 €
Total in €
- Technical Seminar divided into groups for Singles, Dance and Pairs - Technical rules and judging of technical elements - Components Seminar - Criteria and judging of the 5 components
G
BANQUET
To be held following the conclusion of competitions on Saturday 27th May 2017 Number of Participant Tickets (28 €)
Please send entry form to:
Number of Non-Participant Tickets (45 €)
Deutsche Eislauf Union, Menzinger Str. 68, D-80992, Munchen Fax: +49 89 89120320 Email: [email protected] AND Sportstatten Oberstdorf, Stefan Betz, Rossbichlstrasse 2-6, D-87561, Oberstdorf Fax: +49 8322 700 511 Email: [email protected]
Total in €
2
Entry Form H
International Adult Figure Skating Competition Oberstdorf, Germany, 22nd-27th May 2017 (Close of Entries: 13th March 2017)
GRAND TOTAL IN €
Entry Fees
Seminars
Training package & ice fees
Banquet
GRAND TOTAL Payment Information Bank Transfer If you pay by bank transfer you must enclose the receipt.
I
Credit Card
VISA
Mastercard
Card Number
Expiry Date
Cardholder Signature
Date
Validation Code
Declarations In accordance with ISU Rule 119 regarding Medical Insurance and ISU Rule 141 regarding Safety, the German Federation, the BLZ Oberstdorf and the ISU take no responsibility for liability with respect to bodily or personal injury or property loss or damage incurred by competitors or officials. Each entrant is expected to provide his/her own insurance. The organizer will provide medical services for all competitors and officials during practice and competition. I, the undersigned participant, intending to be legally bound, hereby certify that I am physically fit and have not been otherwise informed by a physician. It is my responsibility to notify the Organizer of any change in health condition between the date of the close of entries and the competition. I acknowledge that I am aware of all the risks inherent in figure skating and agree, on behalf of myself and my family, to assume those risks. As a condition of my participation in the International Adult Figure Skating Competition or any activities incident thereto, I hereby waive any and all rights to claims for loss or damages caused by the negligence, active or passive, of the ISU, the Deutsche Eislauf-Union e.V. and the BLZ Oberstdorf, and my entry shall be accepted only on the basis of this waiver. I have read, studied and understood the content and criteria of this form and I accept with my signature the abovementioned conditions. Participant's Signature: ________________________________ Signature of participant required and this waiver must be included in application package.
If one or more pages are missing your entry to the competition will be treated as invalid. You will receive your personal entry and order confirmation by return email.
Please send entry form to:
Deutsche Eislauf Union, Menzinger Str. 68, D-80992, Munchen Fax: +49 89 89120320 Email: [email protected] AND Sportstatten Oberstdorf, Stefan Betz, Rossbichlstrasse 2-6, D-87561, Oberstdorf Fax: +49 8322 700 511 Email: [email protected]
3
Entry Form J
International Adult Figure Skating Competition Oberstdorf, Germany, 22nd-27th May 2017 (Close of Entries: 13th March 2017)
PLANNED PROGRAM CONTENT
Please submit a copy of this page for each event entered. For pairs and dance events it is sufficient if one partner fills in the following form
Name
Federation
Home Club
Event and Age Category
ELEMENTS IN ORDER OF SKATING
1 2 3 4 5 6 7 8 9 10 11 12
Please send entry form to:
Deutsche Eislauf Union, Menzinger Str. 68, D-80992, Munchen Fax: +49 89 89120320 Email: [email protected] AND Sportstatten Oberstdorf, Stefan Betz, Rossbichlstrasse 2-6, D-87561, Oberstdorf Fax: +49 8322 700 511 Email: [email protected]
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