H	Skateland Northridge	SC Champ Full Contest - Freestyle Entry Sheet	Entry from:	_________________________	
O	18140 Parthenia Street	Contest: April 17, 2016	Phone:	_________________________	
S	Northridge, CA 91325 	Fax Due: Mon Apr 4   Pmt Due: Apr 6		FAX to: 714-994-2536	
T	(818) 885-7655	Info: www.scal-sk8.org	Or email to	Victora.reinhart@uhc.com	
NAME	Amtr
Card	M/F	SINGLES	INLINE	PAIRS	Payment	
			#1	#2	#1	#2	#1	#2	1st - $15	Add’l - $15	Total	

												

												

												

												

												

												

												
Pay to: Northridge Competitive Team
Mail to: Northridge Competitive Team
C/O Linda DeFilippo
25523 Via Ventana
Valencia, CA 92381		TOTAL AMOUNT This Page		
				
		TOTAL AMOUNT ENCLOSED		

				

Discipline	Code	Description	
Singles	SJ	Special Singles, Juvenile and Below	
	SE	Special Singles, Elementary and Above	
	ST	Super Tots	
	P	Primary	
	JA,JB,JC	Juvenile A, B and C	
	EA,EB,EC	Elementary A, B and C	
	FA	Freshman A	
	FSB,FSC	Freshman/Sophomore B and C	
	SA	Sophomore A	
	NA,NB	Novice A and B	
	JWS	Junior/JWC/World Class Short	
	JWL	Junior/JWC/World Class Long	
Inline	FA	Freshman A	
	WCS	World Class Short	
	WCL	World Class Long	
Pairs	EA,EB	Elementary A and B	
	FA	Freshman A	
	FSB	Freshman/Sophomore B	
	SA	Sophomore A	
	JWS	Junior/JWC/World Class Short	
	JWL	Junior/JWC/World Class Long	

Special events are not available in this contest.
For this contest, use the skater’s age as of January 1, 2016.