<p> 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!</p><p>ISU Member Federation: </p><p>Name Given Name</p><p>MEN</p><p>Miss/Mrs./Mr. </p><p>Substitute: Miss/Mrs./Mr. </p><p>LADIES</p><p>Miss/Mrs./Mr. </p><p>Substitute: Miss/Mrs./Mr. </p><p>PAIRS</p><p>Miss/Mrs./Mr. </p><p>Substitute: Miss/Mrs./Mr. </p><p>ICE DANCE</p><p>Miss/Mrs./Mr. </p><p>Substitute: Miss/Mrs./Mr. </p><p>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. </p><p>ISU Member Federation:</p><p>Date, Signature:</p><p>Please note that the procedures in regard to entry forms and declaration forms as outlined in ISU Communication 1523 need to be strictly observed.</p><p>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]</p>