SEND ENTRY AND FEE TO: Fuji Ice Palace Pte Ltd 2 Jurong East St 13 #03-01 Jurong Entertainment Centre Singapore 609731 Tel: 6565 1905 Fax: 6565 5957 Email: email@example.com.
Fuji Ice Palace Pte Ltd 2 Jurong East St 13 #03-01 Jurong Entertainment Centre Singapore 609731 Tel: 6565 1905 Fax: 6565 5957 Email: firstname.lastname@example.org
LOCAL / OVERSEASTEAM ENTRY FORM SKATE ASIA WINTER CLASSIC29 Nov. – 3 Dec. 2007
Name of Group/ Name for Program Book Coach Name
Home Rink Rink Phone No. Coach Email Address
City Country Phone No:
USE ONE TEAM ENTRY FORM PER TEAM / PER ENTRY – Complete information & signature is required.
Age Group Category will be determined based on entries received for each event.
FEE & PAYMENT
Entries must be received by FIP before 30 October 2007.DOUBLE FEES APPLY AFTER 30 October 2007.
All Team Entries SGD $25 Per Skater
TOTAL PAYMENT = SGD $_________________
There will be NO REFUNDS. All memberships must be current through event.
I declare that the information above is true, that all skaters have a current Individual Membership ISIAsia or ISI. I have informed all team members that they skate at their own risk at this competition, and hereby release ISIAsia, ISI, the rink owner, management, staff & organizers from all liability for any accidents or injury.
OFFICIAL USE ONLY – PAYMENT: AMOUNT: Date Received: