ATHLETE ENTRY Let the Games Begin!

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:
performanceplusevents@outlook.com
Follow up with hard copy and payment to:
Performance Plus Events - Winterfest Classic
PO Box 645
Boise, ID 83701