CLASSIC LetWINTERFEST the Games Begin! December 5, 2015 - Meridian, Idaho November 5, 2016 - Boise, Idaho ATHLETE ENTRY EntryDeadline: Deadline: October 2015 Entry October24,15, 2016 Club Name USAG # Contact Name Email Club Address Cell Phone City Club Phone State Zip PLEASE GROUP ATHLETES BY LEVEL -- Use additional forms if necessary First Athlete Athlete Name Name First Last Last Level # of Events (Opt. level Level 6-10 only) Athlete Number Date of Birth ** PLEASE ALSO SUBMIT FEE CALCULATION AND COACHES INFORMATION FORMS ** CLUB NAME CALCULATION FEEFEE CALCULATION Level Total # of Athletes Addl. Events 3+ Athletes Level 6-10 Total Individual Entry Fees Entry Fee (due 10/09/15) 10/15/16) (multiply # of Fee addl. Add Team events by $10 and $50$ below) enter total Total Fees 1 x $ 50.00 75.00 = $ 0.00 + n/a n/a = $ 0.00 2 x $ 70.00 75.00 = $ 0.00 + n/a = $ 0.00 3 x $ 70.00 90.00 = $ 0.00 + n/a = $ 0.00 4 x $ 70.00 90.00 = $ 0.00 + n/a = $ 0.00 5 x $ 70.00 90.00 = $ 0.00 + n/a = $ 0.00 6* x $ 40.00 90.00 = $ 0.00 + = $ 0.00 7* x $ 40.00 90.00 = $ 0.00 + = $ 0.00 8* x $ 40.00 90.00 = $ 0.00 + = $ 0.00 9* x $ 40.00 90.00 = $ 0.00 + = $ 0.00 10 * x $ 40.00 90.00 = $ 0.00 + = $ 0.00 Bronze x $ 70.00 75.00 = $ 0.00 + n/a = $ 0.00 Silver x $ 70.00 90.00 = $ 0.00 + n/a = $ 0.00 Gold x $ 70.00 90.00 = $ 0.00 + n/a = $ 0.00 Platinum x $ 70.00 90.00 = $ 0.00 + n/a = $ 0.00 Diamond x $ 70.00 90.00 = $ 0.00 + n/a = $ 0.00 LATE ENTRIES x $ 10.00 10.00 = $ 0.00 TOTAL FEES $ 0.00 *REMEMBER FOR OPTIONALS (Levels 6-10): Each athlete 1st event is $40. For each additional event per athlete add $10. For a possible total of $40, $50, $60 or $70 per athlete. CLUB NAME ATTENDING COACHES Coach Name USAG Pro # USAG Safety Exp Date USAG Backgrnd Exp Date Coach email If coach information is pending, please make note. Be advised that current information must be provided before a coach will be allowed on the competition floor. Email all 3 forms to: [email protected] Follow up with hard copy and payment to: Performance Plus Events - Winterfest Classic PO Box 645 Boise, ID 83701
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