2013 TAMPA CLASSIC ENTRY FORM

WHEN: WHERE: March 28-31, 2013 Indoor will start on Friday, March 29 at SpinNations located 8345 Congress Street, Port Richey, FL. Outdoor will be held on Sunday, March 31st at Raymond James Stadium located at 4201 N. Dale Mabry, Tampa, FL. FEES: Indoor: Novice/Eli te World Class $30.00 $50.00 $15.00 Outdoor: Novice Elite World Class $30.00 $45.00 $75.00 $6.00 $10.00 $8.00 (2 distances) (3 distances) each additional event (2 distances) (3 distances) (3 distances) per day two-day pass CONTACT: Kristal Franklin 850-445-2461 skatemom2811@gmail.com

ENTRY DEADLINE: FRIDAY, MARCH 8, 2013

Spectator Fees Program

OTHER INFORMATION:

*There will be an indoor practice session on Thursday, March 28 from 4 to 6 p.m.

In order to timely make preparations for this event, we ask that you submit the Entry Form and associated meet

fees by the close of business on FRIDAY, MARCH 8, 2013. Please submit this form and registration fees to: KRISTAL FRANKLIN, 2811 Industrial Plaza Drive, Tallahassee, Florida 32301. Checks should be made payable to: STARDUST SPEED CLUB.

DIVISIONS
INDOOR NOVICE DIVISIONS: Primary (6 & 7); Juvenile (8 & 9), Elementary (10 & 11); Freshman (12 & 13), Sophomore (14 & 15); Junior (16 & 17); Senior (18-26); Classic (27-34); Master (35 plus). INDOOR NOVICE RELAYS: Elementary 2 Person & 2 Mix, Sophomore 2 Person & 2 Mix, Senior 2 Person & 2 Mix and Classic/Master 2 Person & 2 Mix. INDOOR ELITE DIVISIONS: Tiny Tot (5 under); Primary (6 & 7), Juvenile (8 & 9), Elementary (10 & 11), Freshman (12 & 13), Sophomore (14 & 15); Junior (16-17), Senior (18-24), Classic (25 plus); Master (35 plus), Veteran (45 plus), Esquire (55 plus), and World Class (14 plus). INDOOR 2 PERSON RELAY DIVISIONS: Primary (7 under), Elementary (8-11), Sophomore (12-15), Senior (18 plus), Classic (25 plus), Master (35 plus) and Veteran (45 plus). INDOOR 3 & 4 PERSON RELAY DIVISIONS: Juvenile (6-9), Freshman (10-13), Senior (1824) and

Classic/Master/Veteran Mix (25 plus). OPENS: Juvenile (6-9), Freshman (10-13), Senior (18-24) and Classic/Master/Veteran Mix (25 plus). OUTDOOR ELITE DIVISIONS: Primary (7 & under), Juvenile (8 & 9), Elementary (10 & 11), Freshman (12 & 13), Junior (14-19), Senior (20-34), Master (35-44), Veteran (45-54), Esquire (55 plus) and World Class (14 plus). OUTDOOR NOVICE DIVISIONS: Juvenile (8 & under), Freshman (9-13), Junior (14-19), Senior (20-34) and Master (35-44). The top four World Class competitors will earn a cash prize for total points earned during the outdoor portion of the Tampa Classic. An additional cash prize will be presented to the overall World Class champion of the 2013 America's Cup inline racing series.

CLUB INFORMATION
Club Name Club Id No. Coachs Name Your Email Tele. No.

i.e., Sally Smith

Skaters Name USARS #

Indoor Registration 2013 Tampa Classic

68457 12/1/7 2 01/01/13) 41 F World Class (WC) E Veteran X X $60 Elite (E)

D.O.B.

Age (as of

Sex Novice (N)

Indoor Division

2 person relay 2 mix relay 3 person relay 4 person relay 4 mix relay Open Total Fees

01/01/13)

Skaters Name USARS # D.O.B. Age (as of Sex World Class (WC) Elite (E) Novice (N) Indoor Division 2 person relay 2 mix relay 3 person relay 4 person relay 4 mix relay Open Total Fees

NOVICE RELAYS 2 PERSON & 2 MIX

$15.00 per person
Elementary 2 Person

Skaters Name 1. 2. 1. 2.
Senior 2 Person 1. 2. 1. 2. Senior 2 Mix 1. 2. 1. 2. Classic/Master 2 Person 1. 2.

Skaters Name

Elementary 2 Mix

1. 2. 1. 2.

Sophomore 2 Person

1. 2.

1. 2.
Sophomore 2 Mix

1. 2. Classic/Master 2 Mix 1. 2. 1. 2.

1. 2. 1. 2.

ELITE RELAYS -- 2 PERSON & 2 MIX

$15.00 per person Primary 2 Person 1. 2. 1. 2. Primary 2 Mix 1. 2. 1. 2. Elementary 2 Person 1. 2. Classic/Master 2 Person Senior 2 Mix Skaters Name Senior 2 Person 1. 2. 1. 2. 1. 2. 1. 2. 1. 2. Skaters Name

1. 2. Sophomore 2 Mix 1. 2. 1. 2. Classic/Master 2 Mix

1. 2. 1. 2. 1. 2.

ELITE INDOOR RELAYS 3 PERSON (3 Person Relays may be run on Thursday, March 28 at 6 p.m.)
$15 per person Juvenile Girl 1. 2. 3. A. Freshman Girl 1. 2. 3. A. Senior Ladies1. Sr. Ladies Skaters Name Juvenile Boy 1. 2. 3. A. Freshman Boy 1. 2. 3. A. 1. Skaters Name

2. 3. A. Classic/Master 1. / Veteran 2. 3. A.

2. 3. A. Classic/Master/ 1. Veteran 2. 3. A.

ELITE INDOOR RELAYS 4 MIX

$15.00 per person Juvenile Girl 1. 2. 3. 4. Freshman Girl 1. Skaters Name Juvenile Boy 1. 2. 3. 4. Freshman Boy 1. Skaters Name

2. 3. 4. Senior Ladies1. 2. 3. 4. Classic/Master 1. / Veteran 2. 3. 4. Sr. Ladies

2. 3. 4. 1. 2. 3. 4 Classic/Master/ 1. Veteran 2. 3. 4.

OPENS
$15 per person Juvenile Girl 1. 2. 3. Skaters Name Juvenile Boy 1. 2. 3. Skaters Name

4.

4.

Freshman Girl 1. 2. 3. 4.

Freshman Boy 1. 2. 3. 4.

Senior Ladies1. 2. 3. Classic/Master 1. / Veteran 2. 3.

Sr. Ladies

1. 2. 3.

Classic/Master/ 1. Veteran 2. 3.

Outdoor Registration 2013 Tampa Classic

Sex

01/01/13)

i.e., Sally Smith

68457

12/1/72

41

World Class (WC)

Elite (E)

Skaters Name

USARS #

D.O.B.

Age (as of

Novice (N)

Outdoor Division

Master

Total Fees $45

01/01/13)

Elite (E)

Skaters Name USARS # D.O.B. Age (as of Sex Novice (N) Outdoor Division Total Fees

REGISTRATION FEES
Total
Novice/Elite Indoor Registrations ______ x $30 = $ World Class Indoor Registrations ______ x $50 = $ Novice/Elite Relays & Opens Registrations ______ x $ $15 = Outdoor Novice Registrations ______ x $30 = Elite Novice Registrations ______ x $45 =

$ $

World Class Outdoor Registrations ______ x $75 =$

World Class (WC)