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    2013 TAMPA CLASSIC ENTRYFORM

    WHEN: March 28-31, 2013

    WHERE:Indoor will start on Friday, March 29 at SpinNations located 8345 Congress Street, PortRichey, FL.

    Outdoor will be held on Sunday, March 31st at Raymond James Stadium located at 4201 N. DaleMabry, Tampa, FL.

    FEES: Indoor:Novice/Elite $30.00 (2 distances) CONTACT: Kristal FranklinWorld

    Class $50.00 (3 distances) 850-445-2461

    $15.00each additionalevent [email protected]

    Outdoor: Novice $30.00 (2 distances)

    Elite $45.00 (3 distances) ENTRYWorldClass $75.00 (3 distances) DEADLINE: FRIDAY, MARCH 8, 2013

    Spectator Fees $6.00 per day

    $10.00 two-day pass

    Program $8.00

    OTHERINFORMATION:

    *There will be an indoor practice session on Thursday, March 28from 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

    mailto:[email protected]:[email protected]
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    fees by the close

    of business onFRIDAY, 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 2Person & 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 (45plus), Esquire (55 plus),

    and World Class (14plus).

    INDOOR 2 PERSON RELAY DIVISIONS: Primary (7 under), Elementary (8-11), Sophomore (12-15),Senior (18 plus),Classic (25 plus), Master (35 plus) andVeteran (45 plus).

    INDOOR 3 & 4 PERSON RELAY DIVISIONS:Juvenile (6-9), Freshman (10-13), Senior (18-24) and

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    Classic/Master/Veteran Mix (25plus).

    OPENS: Juvenile (6-9), Freshman (10-13), Senior (18-24) andClassic/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 WorldClass (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 2013America's Cup inline racing series.

    CLUB INFORMATION

    Club Name

    Club Id No.

    Coachs Name

    Your Email

    Tele. No.

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    Indoor Registration 2013 Tampa Classic

    Skaters Name

    USARS

    #

    D.O

    .B.

    Age(as

    of

    01/01/13)

    S

    ex

    Novice(N)

    Elite(E)

    WorldClass(WC

    )

    IndoorDivision

    2personrelay

    2mixrelay

    3personrelay

    4personrelay

    4mixrelay

    Op

    en

    TotalFe

    es

    i.e., Sally Smith 68457 12/1/7

    2

    41 F E Veteran X X $60

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    Skaters Name

    USARS#

    D.O.B.

    Age(asof

    01/01/13)

    Sex

    Novice(N)

    Elite(E)

    World

    Class(WC)

    In

    doorDivision

    2

    personrelay

    2mixrelay

    3

    personrelay

    4

    personrelay

    4mixrelay

    Open

    TotalFees

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    NOVICE RELAYS 2 PERSON & 2 MIX

    $15.00 per

    person

    Skaters Name Skaters Name

    Elementary 2Person 1. Senior 2 Person 1.

    2. 2.

    1. 1.

    2. 2.

    Elementary 2

    Mix1. Senior 2 Mix 1.

    2. 2.

    1. 1.

    2. 2.

    Sophomore 2

    Person1. Classic/Master 2

    Person

    1.

    2. 2.

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    1. 1.

    2. 2.

    Sophomore 2

    Mix1. Classic/Master 2

    Mix

    1.

    2. 2.

    1. 1.

    2. 2.

    ELITE RELAYS -- 2 PERSON & 2 MIX

    $15.00 per

    person

    Skaters Name Skaters Name

    Primary 2

    Person

    1. Senior 2

    Person

    1.

    2. 2.

    1. 1.

    2. 2.

    Primary 2

    Mix

    1. Senior 2 Mix 1.

    2. 2.

    1. 1.

    2. 2.

    Elementary 2

    Person

    1. Classic/Master

    2 Person

    1.

    2. 2.

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    1. 1.

    2. 2.

    Sophomore 2

    Mix

    1. Classic/Master

    2 Mix

    1.

    2. 2.

    1. 1.

    2. 2.

    ELITE INDOOR RELAYS 3 PERSON (3 Person Relays may be run on

    Thursday, March 28 at 6 p.m.)

    $15 per person Skaters Name Skaters Name

    Juvenile Girl 1. Juvenile Boy 1.

    2. 2.

    3. 3.

    A. A.

    Freshman Girl1. Freshman Boy1.

    2. 2.

    3. 3.

    A. A.

    Senior Ladies1. Sr. Ladies 1.

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    2. 2.

    3. 3.

    A. A.

    Classic/Master/

    Veteran

    1. Classic/Master/

    Veteran

    1.

    2. 2.

    3. 3.

    A. A.

    ELITE INDOOR RELAYS 4 MIX

    $15.00 per

    person

    Skaters Name Skaters Name

    Juvenile Girl 1. Juvenile Boy 1.

    2. 2.

    3. 3.

    4. 4.

    Freshman Girl1. Freshman Boy1.

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    2. 2.

    3. 3.

    4. 4.

    Senior Ladies1. Sr. Ladies 1.

    2. 2.

    3. 3.

    4. 4

    Classic/Master

    /

    Veteran

    1. Classic/Master/

    Veteran

    1.

    2. 2.

    3. 3.

    4. 4.

    OPENS

    $15 per

    person

    Skaters Name Skaters Name

    Juvenile Girl 1. Juvenile Boy 1.

    2. 2.

    3. 3.

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    4. 4.

    Freshman Girl1. Freshman Boy1.

    2. 2.

    3. 3.

    4. 4.

    Senior Ladies1. Sr. Ladies 1.

    2. 2.

    3. 3.

    Classic/Master/

    Veteran

    1. Classic/Master/

    Veteran

    1.

    2. 2.

    3. 3.

    Outdoor Registration 2013 Tampa Classic

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    Skaters Name USARS # D.O.B.

    Age(asof

    01/01/13)

    Sex

    Novice(N)

    Elite(E)

    World

    Class(WC)

    Outdoor Division

    TotalFees

    i.e., Sally Smith 68457 12/1/72 41 F E Master $45

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    Skaters Name USARS # D.O.B.

    Age(asof

    01/01/13)

    Sex

    Novice(N)

    Elite(E)

    Outdoor Division

    TotalFees

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    Wor

    ldClass(WC)

    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 $75 =$