H	Cal Skate Grand Terrace	CA State Games D&F Entry Sheet	Entry from:	_________________________	
O	22080 Commerce Way	Contest: Feb 18-20, 2023	Email:	_________________________	
S	Grand Terrace, CA 92313	Email Due: Jan 15  Pmt Due: Jan 22	Email to	victor@scal-sk8.org	
T	(909) 777-7777	Info: www.scal-sk8.org	Or text to	714-309-7362	
NAME	AGE	M/F	Solo Dance	Creative	Team	Figures	Loops	Combined	Payment	
			1	2	1	2	1	2	1	2	1	2	1	2	$30	$30+	Tot	

																		

																		

																		

																		

																		

																		

Please see the Event List on the next page	TOTAL
THIS PAGE		
	TOTAL AMOUNT ENCLOSED		
Use the 3 digit Event Codes from USARS.
For this contest, use the skater’s age as of January 1, 2023.
*Beginners & Adults may be split based on age.  If age is not provided, the skater will be put in the oldest age group.