ISI Competition December 11-12, 2021 - Northbrook Sports Center 1730 Pfingsten Road, Northbrook IL - Northbrook Park ...
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` ISI Competition
December 11-12, 2021
Northbrook Sports Center
1730 Pfingsten Road, Northbrook IL
For more information, call 847-291-2993
October 2021 Dear Skater, The Northbrook Park District invites you to participate in the 37th Open Team Competition. The 2021 Northbrook Winter Welcome will take place on December 11-12 at the Northbrook Sports Center. Despite last year’s cancellation due to the ongoing pandemic, we are excited to bring back this cherished event. We are excited to offer a competition with a fun winter theme that includes a hot chocolate bar to warm-up chilly skaters. We hope that many skaters and teams are ready to show their new competitive programs while cheering on fellow skaters in a range of events. Events are offered to all ages from Tot though Adult. Enclosed is an informational packet with entry forms and everything you need to know about registration, compulsory skills, event descriptions and judges. Applications and payment are due by November 12. If you have any questions, call the Sports Center Office at 847-291-2993 and our staff will be happy to help you. We look forward to having you participate in the 2021 Northbrook Winter Welcome. Sincerely, Kennedy Lieb Northbrook Park District 847-291-2993 NBWinterWelcome@gmail.com
Premier and Championship Interpretive Event Round*
(Levels Tot-FS 10)
This opportunity allows skaters to advance to another round and compete against the best of the best!
All skaters Tot-FS 10 can enter the Interpretive Event, which allows them to advance to a
Premier/Championship round. For the first round, skaters compete in traditional event groups by age (as
in a typical ISI competition) and receive medals based on their placement. Skaters who place first or
second in each group advance to the Championship round, and the remaining skaters advance to the
Premier round.
Skaters perform a separate Interpretive Event with new music in the Premier/Championship groups on
the last day of the competition. The final groups are divided by age in these levels — Tot-Delta, FS 1-3 &
Bronze, FS 4-5 & Silver, FS 6-7 & Gold and FS 8-10 & Platinum. The scoring criteria for both rounds will
be the same as traditional ISI Interpretive events. All skaters receive trophies and team points based on
their final placement.
Skaters who cannot attend the initial round will be able to participate in the final round; however, they
will be placed into a Premier grouping. Arrangements must be made in advance. Show-style lighting will
be used for the final round of the event. There is a maximum of nine skaters per event group.
Participation is optional in the final round and does not require an additional fee. The final round
features an on-ice awards ceremony with special trophies. Take part in this unique opportunity!
* These events are considered "created events" for this competition. The event guidelines and judging criteria will not be found in the ISI Handbook.
Northbrook Park District
37th Annual Team Competition
December 11-12, 2021
Endorsed by the Ice Sports Industry
Endorsement No.: 38502199
The Northbrook Park District invites you to participate in the 2021 Winter Welcome Competition on December 11-12
at the Northbrook Sports Center, located at 1730 Pfingsten Road in Northbrook, Illinois.
Eligibility Judges and Coaches
The competition is open to all skaters, tots through adults,
Each rink that sends competitors is required to provide one
who are individual members of the Ice Skating Institute (ISI).
judge for every 10 participants. When mailing entry forms,
Skaters should enter in the highest level passed and must be
each team coach must submit the Judges Inquiry Entry Form;
registered with ISI by November 12, 2021. USFS skaters are
the people named on the form agree to be available as judges
encouraged to participate in the ISI Open Freestyle test
during the competition.
levels.
Enter the skater’s ISI number and competition level in the Points and Awards
appropriate areas on the competition entry form. The team Each skater entering an event receives a score for his/her
coach must verify the information with a signature at the skating performance, as well as earning team points for the
bottom of the form. Incomplete or inaccurate forms will not team she/he represents. Each event entry (not each skater if
be accepted. partner or group entry) will receive one participation point
and the appropriate number of placement points as shown in
Competitors’ names and ISI numbers will be submitted to
the Competition Information section of the latest ISI Skaters
ISI prior to the competition.
and Coaches Handbook. Team points are awarded as listed
*** Skaters cannot compete if tests are not submitted and for all individual, partner and group events.
ISI memberships are not current. ***
Return entry forms and payment to your team coach or Conversion Chart
skating director. These are to be forwarded to the Skaters who have passed the following USFS test should refer
Northbrook Park District and postmarked by November 12. to the ISI conversion chart as follows:
The Park District reserves the right to limit the number of Pre-Preliminary – FS 3/Open Bronze
entries.
Preliminary – FS 4/Open Silver
Note: This competition uses the ISI Skaters and Coaches
Handbook. All skating programs must reflect the latest ISI Pre-Juvenile – FS 4/Open Silver
Test Standards and Competition Standards. We suggest that Juvenile – FS 6/Open Gold
you and your skaters refer to the current publications, which
are available from the ISI Office, 6000 Custer Road, Building 9, Intermediate – FS 6/Open Gold
Plano, Texas 75023, phone 972-735-8800 or at skateisi.org. Novice – FS 8/Open Platinum
Junior & Senior – FS 8/Open Platinum Plus
Check-In
Skaters must check in at least one hour before the scheduled Adult Pre-Bronze – FS 2/Open Bronze
program event and bring their CDs to the registration table.
Adult Bronze – FS 3/Open Bronze
CDs should be labeled with the skater’s name, level and home
rink and can be picked up at the awards table after the event. Adult Silver – FS 4/Open Silver
The schedule will be emailed to each participant and posted
Adult Gold – FS 5/Open Gold
online at nbparks.org (click on the Ice Chatter link).
Event Descriptions
Complete descriptions of figure skating events can be found in the current ISI Rule Book unless otherwise noted.
Created Events Individual
Solo (Tot 1-4)
Championship Interp (All Levels)* Artistic (Starting at FS 1)
Skaters in these beginning levels perform
Skaters of all ages and levels can enter Skaters perform a program to music, with
a one-minute program set to music. The
this event. For the first round, skaters the emphasis on creative and innovative
program should emphasize the required
compete together in traditional event design of a skating program. Strong
maneuvers for their test level. Tot events
groups by age/level and receive medals edges, body positions, flow, music
are usually for skaters 6 years or younger.
based on their placement. Skaters who interpretation, rhythm, choreography,
Coaches can help skaters on the ice
place first or second in each group and artistry should be the main focus of
during this event.
advance to the Championship Round, and this program. There is no grade for
the remaining skaters advance to the technical merit. Solo Compulsories (Tot-FS 10,
Premier Round. See packet for full Footwork (Starting at FS 1) Special Skater 1-10)
description. Skaters perform footwork sequences of Skaters are to perform only the three
their own design to music. The program maneuvers selected. Selected maneuvers
should contain a variety of turns and can be found at the end of this packet.
sequences. It is suggested there be a Elements can be performed in any order
change of tempo to emphasize the with a minimum of connecting steps.
skater’s controlled edges and turns in
addition to the speed and quickness of
the routine.
Solo Spotlight
(All Levels)
Rhythmic Skating (Starting at FS 1) This is an event where emphasis is placed
This event is similar to rhythmic on the theatrical and entertainment
gymnastics – but on ice. There are no value of the skater’s performance rather
required maneuvers. Emphasis should be than on the technical accuracy of specific
placed on entertainment value and use of maneuvers. There is no score for
Shoot-the-Duck Competition the prop in creative and unusual ways to technical merit or correctness in this
(Starting at Pre-Alpha)* enhance the program choreography. event.
Skaters perform a chosen shoot-the-duck Solo Open Freestyle
(either foot or edge, forward or Spotlight events are divided into three
(Bronze-Platinum) categories listed below. Please mark the
backward) one at a time and are judged This is a freestyle event with no required
on position and length of the maneuver. correct category on your entry form.
maneuvers. Skaters should present a
well-balanced program of jumps, spins, 1. Character- a famous or easily
Sit Spin Competition (Starting at footwork and gliding moves.
FS4)* identifiable character.
Skaters perform two sit spins; the best Solo Freestyle (Pre Alpha-FS 10, 2. Dramatic- a theatrical performance
spin is judged for technique and the Special Skater 1-10) that sets a mood and evokes an
number of revolutions. A technical program set to music emotional response.
emphasizes the required maneuvers from
Spiral Competition* the skater’s current test level. Various 3. Light Entertainment- an entertaining or
(Starting at Pre-Alpha) skills are required, depending on the light-hearted performance.
Skaters perform a chosen forward spiral level.
(either foot or edge) one at a time and Stroking (Starting at Pre-Alpha)
are judged on position and length of the Skaters grouped by age and ability level
maneuver. (Grab spirals are not perform forward stroking in both
permitted.) directions. Forward crossovers are
allowed; however, they are not judged in
135 Competition (Starting at FS 1)* Pre-Alpha – Delta level events.
Skaters perform a chosen 135 spiral
(either foot or edge) grabbing the
toe/heel. Participants perform one at a
time and are judged on position and
length of the maneuver.
* This event is considered a "created event" for this competition. The event guidelines and judging criteria will not be found in the ISI Handbook.Couples
Couples (1-10)
Two skaters perform their routine to Ensemble Team Synchronized Advanced
music that requires maneuvers from their This group event is open to teams of 3-7 Formation
current Couple test level. Skaters cannot skaters from all levels and ages. Skaters Groups of 8-24 skaters performing
be more than one Freestyle level apart will be judged on the entertainment and various formations such as wheels,
and cannot compete more than one level performance value of the program. There circles, lines, blocks, etc. in a program to
below the lowest Freestyle level tested. are no required maneuvers and no music. Since this is a transitional event
technical score, but any skating category between formation and skating
Couples Spotlight maneuvers can be performed at any events, the program should consist of
(Low-Platinum) level. more advanced skating skills. The team
This is an entertaining spotlight program should demonstrate a good knowledge of
performed by two skaters using costumes
Freestyle Synchro
synchronized skills such as unison,
Groups of 3-7 skaters perform a freestyle
and props. straight lines, and correct holds.
program at their corresponding freestyle
Spotlight events are divided into three level. Every skater is to perform every Synchronized Skating
categories listed below. Please mark the maneuver at the particular freestyle This event is for groups of 8-24 skaters
correct category on your entry form. level, including the Dance Step sequence, who have mastered the basics of good
in unison. synchronized skating and are executing
1. Character- a famous or easily superior synchronized formations with
identifiable character.
Kaleidoskate Team
A team consists of 8 or more skaters of all speed, difficulty and accuracy. The
2. Dramatic- a theatrical performance ages and levels. The event is similar to program with music should contain
that sets a mood and evokes an pattern skating because skaters can form synchronized moves, along with edges,
emotional response. squares, circles, triangles, stars, intricate footwork and a minimum of
diamonds, etc. Emphasis should be on two-foot skating.
3. Light Entertainment- an entertaining or
light-hearted performance. creating constantly changing formations Synchronized Skating Open
that resemble the unique visual patterns Competition Event
as seen in a kaleidoscope. Groups of 8-24 skaters in the Sr. Youth,
Jump & Spin (Low-Platinum) Production Team Teen, Collegiate and Adult age divisions
Two skaters enter the ice as a team. The This category is for the entire competitive only who have already mastered the
first skater performs a choice of a team. Skaters of all ages and levels can basics of good synchronized skating and
required jump two times, followed by the participate. Skating maneuvers can be are executing superior speed, difficulty
second skater performing a choice of a performed at any level; there is no and accuracy. The program to music
required spin two times. Specific jump technical scoring. should contain advanced synchronized
and spin requirements can be found in moves along with edges, intricate
Synchronized Dance footwork and a minimum of two-foot
the ISI Rule Book.
Groups of 8-24 skaters all moving in skating.
unison, utilizing dance steps – tap
Team dancing, soft shoe, ballet, etc. – and Team Compulsories
skating moves to produce a program. This event is open to teams of Freestyle
Advanced Formation
Teams may resemble “Broadway” and levels only. Skaters are not permitted to
Synchronized Event skate below their current registered test
This team category is for skaters who are “showy” types of routines similar to
those of the Radio City Rockettes while level. Any skater may skate in a higher
continuing to master the basics of
still incorporating technical synchronized test level. Pre-Alpha – Delta skaters may
synchronized skating, such as straight
skating moves. participate on Freestyle teams.
lines, correct holds and unison. The
program must include at least one of
each of the basic elements. Synchronized Formation
Groups of 8-24 skaters perform various
formations, such as wheels, circles, lines,
Collegiate Age Group for All blocks, etc. in a program to music. This
Synchronized Team Events program should consist of basic skating
The majority of skaters must be ages skills with a minimum of simple footwork,
18-25, and the team members must be hops or toe steps. The team should
affiliated with the college/university that demonstrate a good knowledge of
they are representing. synchronized basics, such as unison,
straight lines and correct holds.Compulsory
Skills
In the Compulsory Event, skaters perform three prearranged maneuvers in any order in a choreographed program
with a minimal number of connecting steps between them. Only the first attempt of each maneuver is judged.
Freestyle 1-5 will use half of the ice; Freestyle 6-10 will use the full ice. There is no penalty for the quantity of
swizzles, wiggles, strokes or crossovers performed in the Tot-Beta levels. Only the quality of these maneuvers is
judged.
The following compulsory maneuvers are in each level of competition:
Tot 1 — Two-foot Glide/Dip/Backward Wiggle
Tot 2 — Forward Swizzle/One-foot Glide/Push & Glide (Stroking)
Tot 3 — Push & Glide Stroking/Dip/Forward Swizzle
Tot 4 — Backward Swizzle/Two-foot or One-foot Snowplow Stop/Backward Wiggle
Pre-Alpha — Forward Swizzles/2-Foot Glide/Backward Wiggles
Alpha — Forward Stroking/Left Over Right Forward Crossovers/1-Foot Snowplow Stop
Beta — Backward Stroking/Left Over Right Backward Crossovers/Right T-Stop
Gamma — Right Forward Outside 3-turn/Right Forward Inside Mohawk Combo/Hockey Stop
Delta — Right Forward Inside 3-turn/Bunny Hop/Lunge
FS 1 — Waltz Jump/2-foot Spin/Forward Arabesque
FS 2 — Ballet Jump/1-foot Spin/½ Lutz Jump
FS 3 — Salchow Jump/Change Foot Spin/Backward Arabesque
FS 4 — Flip Jump/Sit Spin/Loop Jump
FS 5 — Camel-Sit-Upright Spin/Axel/Back Spin
FS 6 — Double Salchow/Choice Spin (Cross-Foot/Layback/Sit-Change-Sit)/Split Jump
FS 7 — Two Walley Jumps/Flying Camel Spin/Double Toe Loop Jump
FS 8 — Double Loop Jump/Flying Sit Spin/¼ Flip-¼ Flip-Double Salchow Jump Sequence
FS 9 — Double Lutz Jump/Flying Camel into Jump Sit Spin/Axel-Double Loop Jump Combination
FS 10 — Double Axel-Double Toe Loop Jump Combination/Death Drop/Three Arabian Cartwheel or Butterfly Jumps
Special Skater 1 — Fall/Get Up/March in Place
Special Skater 2 — Forward Swizzle/ Two-food Glide/Teapot (dip)
Special Skater 3 — Forward Swizzles/Scooter Push/Backward Wiggles
Special Skater 4 — T-position Push/One Foot Swizzles/Forward Crossovers Standing Still
Special Skater 5 — Forward Stroking/Snowplow Stop/Right Over Left Forward Crossovers
Special Skater 6 — Two-foot Turn Forward to Backward/One-foot Glide on a Curve/Left One-foot Backward
Swizzles
Special Skater 7 — Backward Stroking/Choice of Stop/Left Over Right Backward Crossovers
Special Skater 8 — RFI Mohawk/LFI Mohawk/RBO Edge on a Curve
Special Skater 9 — FRO 3-turn/LFO 3-turn/Choice of Stop
Special Skater 10 — Bunny Hop/Lunge/LFI 3-turnIce Skating Program Waiver and Release
Important Information
The Northbrook Park District (herein collectively referred to as the “District”) is committed to conducting its recreation programs
and activities in a safe manner and holds the safety of participants in high regard. The District continually strives to reduce such risks
and insists that all participants follow safety rules and instructions that are designed to protect the participants’ safety. However,
participants and parents/guardians of minors registering for this program must recognize that there is an inherent risk of injury
when choosing to participate in recreational activities.
You are solely responsible for determining if you or your minor child/ward are physically fit and/or adequately skilled for ice-skating
activities. It is always advisable, especially if the participant is pregnant, disabled in any way or recently suffered an illness, injury or
impairment, to consult a physician before undertaking any physical activity.
Warning of Risk
Ice-skating is intended to challenge and engage the physical, mental and emotional resources of the participant. Despite careful and
proper preparation, instruction, medical advice, conditioning and equipment, there is still a risk of serious injury, including but not
limited to head injury, neck or back injury, wrist and ankle fractures, and other orthopedic injuries to limbs and joints. All hazards
and dangers cannot be foreseen. The very nature of ice- skating is risky, including but not limited to slip and falls, colliding with other
players of varying degrees of skill (including being struck from behind), tripping on irregular ice surfaces, cuts from skate blades,
inadequate or defective equipment, ill-fitting skates, failure in supervision or instruction, horseplay, carelessness, poor technique,
poor conditioning, rule violations, striking a stationary object, premises defects outside the rink, and all other risks inherent to the
sport of ice-skating. In this regard, it must be recognized that it is impossible for the District to guarantee absolute safety.
Photo/Video Policy
The Northbrook Park District takes photos and video of participants in classes, during special events and in the parks. By signing the
waiver, you are giving permission to the District to use these photos and video in District publications and on our website and social
media outlets. All photos and video are the property of the District.
Waiver and Release of All Claims and Assumption of Risk
Please read this form carefully and be aware that in signing up and participating in this program/activity, you will be expressly
assuming the risk and legal liability and waiving and releasing all claims for injuries, damages or loss which you or your minor
child/ward might sustain as a result of participating in any and all activities connected with and associated with this program/activity
(including transportation services and vehicle operations, when provided).
I recognize and acknowledge that there are certain risks of physical injury to participants in this program/activity, and I voluntarily
agree to assume the full risk of any and all injuries, damages or loss, regardless of severity, that my minor child/ward or I may sustain
as a result of said participation. I further agree to waive and relinquish all claims I or my minor child/ward may have (or accrue to me
or my child/ward) as a result of participating in this program/activity against the District, including its officials, agents, volunteers
and employees.
I further agree to defend, indemnify, and hold the District harmless against any and all liability, loss, expense, including reasonable
attorneys’ fees, or claims for injury or damages arising out of my participation (or my minor child/ward’s participation) in this
activity; but only in proportion to and to the extent such liability, loss, expense, attorney’s fees, or claims for injury or damages are
caused by or result from my or my minor child’s/ward’s acts(s) or omission(s).
I have read and fully understand the above important information, warning of risk, photo/video policy, assumption of risk and
waiver and release of all claims, and indemnification agreement. If registering online or via fax, my signature shall substitute for and
have the same legal effect as an original form signature.
PARTICIPATION WILL BE DENIED if the signature of adult participant or parent/guardian and date are not on
this waiver. A signature is required for each participant 18 years or older and one signature for all minor
children/dependants. Note: The Northbrook Park District does not carry medical or accident insurance for its participants. The
cost of such insurance would make programs cost prohibitive. We suggest that you look at your own insurance policy to be sure you
are adequately covered. The Park District assumes no responsibility for personal injuries or loss of personal property.
____________________________________________________________________
Participant’s Name (please print)
_____________________________________________________________________ _____________________________
Participant’s Signature (18 years or older or parent/guardian) Date
ISWR_8_2012Tot-Delta & Special Skater Entry Form
(Please print legibly)
Skater’s Name ___________________________________________ ISI #_____________________ Gender Female Male
Address ____________________________________________ City _______________________ State ______ Zip _______________
Birthdate _____________________ Age (as of 12/11/2021) _______________
Parent/Guardian Contact Information: Email ______________________________________ Phone __________________________
Primary Coach’s Name _____________________________Primary Coach’s E-mail & Phone__________________________________
Events
(Check one box for level, then check box for each event)
Tot 1 Tot 2 Tot 3 Tot 4
Solo Solo Compulsories Championship Interp Solo Spotlight Couples Spotlight
Pre-Alpha Alpha Beta Gamma Delta Special Skater
Shoot-The-Duck Solo Championship Interp Solo Spotlight Couples
Spiral Comp. Solo Compulsories Stroking Jump & Spin Couples Spotlight
Jump & Spin Partner’s Name ______________________________________________________________________________
Level: Low: Tot-Delta Bronze: FS 1-3 Silver: FS 4-5 Gold: FS 6-7 Platinum: FS 8-10
Solo Spotlight Level: Low: Tot-Delta Bronze: FS 1-3 Silver: FS 4-5 Gold: FS 6-7 Platinum: FS 8-10
Solo Spotlight Category (choose one): Character Dramatic Light Entertainment
Couples Spotlight Partner ________________________________________________________________________________
Level: Low: Tot-Delta Bronze: FS 1-3 Silver: FS 4-5 Gold: FS 6-7 Platinum: FS 8-10
Couples Spotlight Category (choose one): Character Dramatic Light Entertainment
Couples Partner __________________________________________________________ Couples Level (1-10) _________________
Place event titles on the following lines:
First General Event ($60) Includes Referee Program Fee ______________________________________________________________
Second General Event ($15) __________________________ Third General Event ($15) ____________________________________
Additional Event ($10) _________________ Additional Event ($10) _________________ Additional Event ($10) ________________
Championship Interp Event ($50) Sign me up! Not this year
3 or more events: Northbrook Competitive Figure Skating Team member? - $10 discount Yes No
Total (Checks made payable to the Northbrook Park District)
Please refer to the reverse side of this form to complete your registration.
1730 Pfingsten Road, Northbrook, IL 60062 | 847·291·2993 | nbparks.orgTot-Delta & Special Skater Entry Form
All competition forms are due by November 12, 2021. A $25 late fee will be added to entries received after the deadline. We reserve
the right to decline late entries and to limit the number of entries on a first-come, first-served basis. Event changes after the
schedule has been posted will result in an additional fee of $10 per event. We cannot accept time/day requests.
I skate in this competition at my own risk for (Rink Name) __________________________________________________________
Skater Signature ___________________________________________________________________________________________
Parent or Guardian Signature: ________________________________________________________________________________
I declare that the information on this form is true and that this skater is registered as an individual member with ISI.
Skating Director’s Verification ________________________________________________________________________________
Professional Member Number ______________________________________________ Date _____________________________
Primary Coach’s Verification __________________________________________________________________________________
Please Print Name Signature
Professional Member Number ______________________________________________ Date _____________________________
Are you an ISI certified judge? Yes No Certification Bronze Silver Gold Synchro
Email Address ______________________________________________ Phone Number _________________________________
Sign the participation waiver in this packet to complete your registration.
Questions? Contact NBWinterWelcome@gmail.com
Thank you for participating in this year’s Northbrook Winter Welcome!Freestyle Entry Form
(Please print)
Skater’s Name ___________________________________________ ISI #_____________________ Gender Female Male
Address ____________________________________________ City _______________________ State ______ Zip _______________
Birthdate _____________________ Age (as of 12/11/2021) _______________
Parent/Guardian Contact Information: Email ______________________________________ Phone __________________________
Primary Coach’s Name _____________________________Primary Coach’s E-mail & Phone__________________________________
Open Freestyle Events
Bronze Silver Gold Short Gold Long Platinum Short Platinum Long Platinum Plus
Events (Check one box for level, then check box for each event)
Level (Check one) FS 1 FS 2 FS 3 FS 4 FS 5 FS 6 FS 7 FS 8 FS 9 FS 10
Spiral Comp. Sit Spin Comp. Championship Interp Solo Compulsories Couples
Footwork Stroking Rhythmic Skating Solo Spotlight Couples Spotlight
Shoot-The-Duck Artistic Skating Solo 135 Spiral Comp. Jump & Spin
Jump & Spin Partner’s Name _________________________________________________________________________________
Level: Low: Tot-Delta Bronze: FS 1-3 Silver: FS 4-5 Gold: FS 6-7 Platinum: FS 8-10
Solo Spotlight Level: Low: Tot-Delta Bronze: FS 1-3 Silver: FS 4-5 Gold: FS 6-7 Platinum: FS 8-10
Solo Spotlight Category (choose one): Character Dramatic Light Entertainment
Couples Spotlight Partner ___________________________________________________________________________________
Level: Low: Tot-Delta Bronze: FS 1-3 Silver: FS 4-5 Gold: FS 6-7 Platinum: FS 8-10
Couples Spotlight Category (choose one): Character Dramatic Light Entertainment
Rhythmic Skating Category (choose one): Ball Hoop Ribbon
Level: Bronze: FS 1-3 Silver: FS 4-5 Gold: FS 6-7 Platinum: FS 8-10
Artistic Level: Bronze: FS 1-3 Silver: FS 4-5 Gold: FS 6-7 Platinum: FS 8-10
Couples Partner __________________________________________________________ Couples Level (1-10) ______________
Place event titles on the following lines:
First General Event ($60) Includes Referee Program Fee ______________________________________________________________
Second General Event ($15) __________________________ Third General Event ($15) ____________________________________
Additional Event ($10) _________________ Additional Event ($10) _________________ Additional Event ($10) ________________
Championship Interp Event ($50) Sign me up! Not this year
3 or more events: Northbrook Competitive Figure Skating Team member? - $10 discount Yes No
Total (Checks made payable to the Northbrook Park District)
Please refer to the reverse side of this form to complete your registration.
1730 Pfingsten Road, Northbrook, IL 60062 | 847·291·2993 | nbparks.orgFreestyle Entry Form
All competition forms are due by November 12, 2021. A $25 late fee will be added to entries received after the deadline. We reserve
the right to decline late entries and to limit the number of entries on a first-come, first-served basis. Event changes after the
schedule has been posted will result in an additional fee of $10 per event. We cannot accept time/day requests.
Are you an active USFS member who has competed at or above the Novice level at any USFS National Championship within
the last two years? Yes No
I skate in this competition at my own risk for (Rink Name) _________________________________________________________
Skater Signature ___________________________________________________________________________________________
Parent or Guardian Signature ________________________________________________________________________________
I declare that the information on this form is true and that this skater is registered as an individual member with ISI.
Skating Director’s Verification ________________________________________________________________________________
Professional Member Number ____________________________________________ Date: _____________________________
Primary Coach’s Verification __________________________________________________________________________________
Please Print Name Signature
Professional Member Number ____________________________________________ Date: _____________________________
Are you an ISI certified judge? Yes No Certification: Bronze Silver Gold Synchro
Email Address ______________________________________________ Phone Number _________________________________
Sign the participation waiver in this packet to complete your registration.
Questions? Contact NBWinterWelcome@gmail.com
Thank you for participating in this year’s Northbrook Winter Welcome!Team Entry Form
(Please print)
Name of Team ____________________________________________________________ Number of Skaters___________________
Rink_______________________________________________ Coach’s Name _____________________________________________
Coach’s Home Address ________________________________________________________ Phone __________________________
ISI Team Number ________________ Contact E-mail ________________________________________________________________
Primary Coach’s E-mail ____________________________________________ Primary Coach’s Phone ________________________
Events (Check the box for each event)
Tot Team Jr. Youth Formation Jr. Youth Adv. Formation Jr. Youth Skating
Youth Formation Youth Adv. Formation Youth Skating Sr. Youth Formation
Sr. Youth Adv. Formation Sr. Youth Skating Sr. Youth Skating Open Teen Formation
Teen Adv. Formation Teen Skating Teen Skating Open Collegiate Formation
Collegiate Adv. Collegiate Skating Collegiate Skating Open Adult Formation
Formation
Adult Adv. Formation Adult Skating Adult Skating Open Ensemble Team
Freestyle Synchro Kaleidoskate Team Production Team Synchronized Dance
Tot Synchro Dance Jr. Youth Synchro Dance Youth Synchro Dance Sr. Youth Synchro Dance
Teen Synchro Dance Adult Synchro Dance Master Synchro Dance Exhibition Performance
Competition Events
Number of skaters ___________________ x $18 + $15 Mandatory Referee Program Fee = $_____________
Exhibition Events: Number of skaters ________________ x $5 = $________________
Checks should be made payable to the Northbrook Park District.
Entries must be received by November 12, 2021. Return the entry form and check to the team coach. Registration should be sent to
the attention of Kennedy Lieb at Northbrook Sports Center, 1730 Pfingsten Road, Northbrook, IL 60062.
I declare that all of the information submitted is true and that all skaters have an individual membership with ISI.
We skate this competition at our own risk.
Coach’s Signature ______________________________________________ Professional Member #_______________________
Are you an ISI certified judge? Yes No Certification: Bronze Silver Gold Synchro
Email Address ______________________________________________ Phone Number ________________________________
On the following page, indicate any team member who has competed at or above the Novice level at any USFS National
Championship within the last two years.
Each skater on the team must sign a participation waiver on the back of the packet to complete the
registration. Questions? Contact NBWinterWelcome@gmail.com
Please refer to the reverse side of this form to complete your registration.
1730 Pfingsten Road, Northbrook, IL 60062 | 847·291·2993 | nbparks.orgTeam Entry Form
Name Age (on 7/1/21) USFS (Novice or Above) ISI Number
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30DISTRICT 8 REFEREE PANEL
District 8 is proud to announce the continued success of the
District Referee Panel & Committee
The goal of this panel continues to ensure the consistency and quality to all District 8
competitions by enforcing the ISI guidelines and procedures.
The members of this panel have gone through training endorsed by the ISI national office.
Each referee is a current ISI professional member, gold certified judge, and ISI Certified
Referee.
Each competition will be supplied with a referee for the duration of their competition to
ensure quality judging and rule interpretation.
In order to continue supplying each competition with qualified individuals, an additional $2
per competitor is added to each entry fee to support this program. (Some competitions
include this fee in their registration fee.)
Thank you for supporting the district’s continued efforts to provide fair and positive
experiences for all its skaters, parents and coaches.Judges Inquiry Form
Complete this form and mail to:
Northbrook Sports Center
1730 Pfingsten Road
Northbrook, IL 60062
Attention: Kennedy Lieb
Name Home Rink
Address
Phone E-mail
City State Zip
Have you ever judged at any other ISI Team Competition? Yes No
Are you an ISI certified judge? Yes No Certification: Bronze Silver Gold Synchro
Signature
Judges Inquiry Form
Complete this form and mail to:
Northbrook Sports Center
1730 Pfingsten Road
Northbrook, IL 60062
Attention: Kennedy Lieb
Name Home Rink
Address
Phone E-mail
City State Zip
Have you ever judged at any other ISI Team Competition? Yes No
Are you an ISI certified judge? Yes No Certification: Bronze Silver Gold Synchro
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