Last Name First Name ISIAsia Member # Exp. Date Mixed Partner: ___________________________________________ ISIAsia # ___________________________ Free Dance Partner: _________________________________________________ ISIAsia # ___________________________ Address Birthdate Age on August 5, 2018 City State/Province Zip Country Phone # (Required) Home ISIAsia Member Rink/Club Email (Required) YOUR INFORMATION (Please Print) Current ISIAsia Members of all ages are eligible to participate. Male Female FEES AND PAYMENT (all amounts are U.S. Dollars) Yes No Be sure to sign here! Skater signature Date Parent/guardian (if applicable) Date Coach name (please print) Date Coach professional ISIAsia # Exp. date Certification level Email address Is coach attending the event? There will be NO REFUNDS. ISIAsia reserves the right to limit the number of entries without notice. I skate at this competition at my own risk and hereby release ISIAsia, the host facility(ies) and their owners, officers, directors, officials and personnel from all liability. I declare that the home rink listed above is the true rink/club/school that I wish to represent. Upon entering this competition, I hereby agree that any photographs or video taken of me, by ISIAsia or any authorized party, may be used exclusively for any purpose by the ISIAsia or any other use authorized by the ISIAsia. I declare that the information above is true, that this skater’s test(s) is/are registered, that the skater is a current individual member of the ISIAsia, and is skating in the proper categories and levels, and that the home rink listed above is correct . OFFICE USE ONL Y DANCE EVENT DESCRIPTIONS We are offering a new way for you to choose your own dances for ISI national events. It’s called Choice Dance – and you can choose any or all of the dances you want to compete from your Dance test level. Each dance event entry requires a separate entry fee. All dance partners must submit a separate Dance Entry Form. All dance competitors must have passed ISI Ice Dancing tests and must compete at the highest level passed. As long as the skater has passed the individual dance, they can compete in that dance in competition events (i.e. Solo, Similar, Mixed or Pro Partner). The skater is no longer required to complete all dances in the ISI dance test level to compete in any dance(s) at that level. We will still offer the traditional Dance event format for Solo, Similar and Mixed dances, but you can now choose your own dance(s) for the competition events. You can enter both the Choice Dance events (Solo / Similar / Mixed) and the new Pro Partner event and the Free Dance event too! Please clearly indicate all of the dance events you wish to enter on this form. If you will also have other solo and partner event entries on the Individual Entry form, please attach this Dance Entry Form to the back of your Individual Entry Form and write one check for the total entry fees. You can also put your credit card information at the bottom and we will charge your card for the appropriate entry fees. Pro Partner Events: Current ISI Professional members partnering with students or other skaters for this event will compete at the partner’s highest dance test level (not the Pro’s highest dance test level). All Pro Partner entries will be put into separate event groups from the traditional Similar/ Mixed partner dance events. Free Dance Events: Skaters in partnered Free Dance events must pass the separate Free Dance 1-10 test levels. Skaters competing in Open Solo Free Dance must pass the separate Bronze, Silver, Gold, Platinum or Diamond test levels. DANCE EVENT ENTRIES Please indicate all the Dance events you wish to enter: ____ Solo Dance ____Similar Dance ____Mixed Dance ____ Pro Partner ____Free Dance ____Open Solo Free Dance Similar Partner: __________________________________ ISIAsia # ___________________________ Pro Partner: ____________________________________________________ ISIAsia # ___________________________ Solo Sim Mix Pro Solo Sim Mix Pro Solo Sim Mix Pro Solo Sim Mix Pro Dance 1 Chasse Seq. Progressive Seq. Solo Sim Mix Pro Solo Sim Mix Pro Dance 5 Willow Waltz Hickory Hoedown Solo Sim Mix Pro Solo Sim Mix Pro Dance 3 Canasta Tango Rhythm Blues Solo Sim Mix Pro Solo Sim Mix Pro Dance 4 Swing Dance Cha Cha Dance 2 Swing Rolls Dutch Waltz Solo Sim Mix Pro Fiesta Tango Solo Sim Mix Pro Solo Sim Mix Pro Dance 6 Fourteen Step Solo Sim Mix Pro Foxtrot Solo Sim Mix Pro Solo Sim Mix Pro Tango Rocker Foxtrot Solo Sim Mix Pro European Waltz Solo Sim Mix Pro Solo Sim Mix Pro Dance 9 Paso Doble Solo Sim Mix Pro Quickstep Solo Sim Mix Pro Solo Sim Mix Pro Dance 8 Blues Kilian Solo Sim Mix Pro Starlight Waltz Solo Sim Mix Pro Solo Sim Mix Pro Dance 10 Westminster Waltz Argentine Tango Solo Sim Mix Pro Viennese Waltz CHOICE DANCES: Choose all your dance entries by marking the boxes below. (May only enter two versions of each dance) Date received Initials Amount Check # D Ten Fox American Waltz Dance 7 www.skateasia2018.com DANCE ENTRY FORM SKATE ASIA 2018 Send Entry Form & Fees to: Ice Skating Institute Asia Ltd GPO Box No. 579 Hong Kong Email: [email protected] ENTRY DEADLINE: JUNE 5, 2018 First event : Each additional : 1 x USD$ 85 = USD$ 85 ____ x USD$ 35 = USD$______ Total enclosed = USD$_____ NOTE: ISIAsia or ISI USA Memberships must be current through the event. All test and memberships must be registered with ISIAsia Office by June 5, 2018 (Levels 9 & 10 receive first event free. IF ACCEPTED, ENTRY FEES WILL BE DOUBLED AFTER ENTRY DEADLINE (JUNE 5, 2018)! ANY CHANGES TO THIS ORIGINAL ENTRY FORM WILL RESULT IN A CHANGE FEE OF $25 PER CHANGE / PER SKATER