OPEN FREESKATE

Deadline : September 24, 2022

REGISTRATION FORM
SKATERS INFORMATION

Full Name Age Gender M F

(as of September 24, 2022)
Birthdate
(month/day/year) Rink

Mobile No. Coach

Email Address Pronouns

CATEGORY

Single Double Triple

Music : 1:30 min - 2:00 max Music : 2:00 min - 2:30 max Music : 2:30 min - 3:00 max

REQUIREMENTS
1. Edge Jump
2. Toe Jump
3. Combination Jump
4. Any Jump not (1) or (2)
5. Combination Spin
6. Solo Spin
7. Step Sequence

• Must be a Filipino Citizen

• No ISI membership registration needed

REGISTRATION FEE
TOTAL PAYMENT Php 3,500.00

There will be NO REFUNDS. The organizer reserves the right to limit the number of entries without notice. I skate at this competition at my own risk and
hereby release the rink owners, rink management, rink staff, and event organizers from all liability for any accident or injury. I declare that the home rink
listed above is the rink where I skate.

___________________________________ ________________
Skater Signature Date

I declare that the information above is true, that this skater is skating in the proper levels and categories, and that the home rink is correct. I understand
all the rules and regulations discussed during the meetings.

____________________________________ ________________
Registered Coach (Print Name & Signature) Date

October 28-29, 2022 Skate Philippines SM Mall of Asia Ice Skating Rink