Entry Form for Judges

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Entry Form for Judges

Junior Grand Prix of Figure Skating 2009/2010 LAKE PLACID JUNIOR GRAND PRIX Entry Form for Judges THIS FORM MUST RETURN BEFORE: 03.08.2009 Please fill in with type or write in capital letters!

ISU Member Federation:

Name Given Name

MEN

Miss/Mrs./Mr.

Substitute: Miss/Mrs./Mr.

LADIES

Miss/Mrs./Mr.

Substitute: Miss/Mrs./Mr.

PAIRS

Miss/Mrs./Mr.

Substitute: Miss/Mrs./Mr.

ICE DANCE

Miss/Mrs./Mr.

Substitute: Miss/Mrs./Mr.

The undersigned Member of the ISU hereby certifies that the above named judges qualify with regard to eligibility according to ISU General Regulations 2008, Rule 102.

ISU Member Federation:

Date, Signature:

Please note that the procedures in regard to entry forms and declaration forms as outlined in ISU Communication 1523 need to be strictly observed.

Please mail or fax: and: ISU Secretariat and: Peter Krick Organizing Committee Chemin de Primerose 2 Chair ISU Sports Directorate Bob Dunlop, Sr. Director of Events CH-1007 Lausanne Am Schorn 38 U.S. Figure Skating fax: ++41 21 612 66 77 D-82327 Tutzing 20 First Street e-mail: [email protected] fax:++49 8158 928 650 Colorado Springs, CO, USA 80906 e-mail: [email protected] T: 1+ (719) 635-5200 F: 1+ (719) 635- 9548 E-mail: [email protected]

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