Thursday,
March 11, 2010 8:00 AM to 5:30
PM
This completed application,
test fees, and permission to test from the home club test chair (if necessary)
must be postmarked by Tuesday, February 2, 2010. Schedule will
be posted on the club website www.ecfigureskate.org about 10 days
prior to the test.
Name _________________________________USFSA#______________ Phone___________________
Address________________________________City/State/Zip__________________________________
Home club______________________________Email_________________________________________
Participation in competition _____ Yes _____ No
Tests You Wish to TakePlease circle the appropriate test level and fee. |
|||||
Moves in the Field |
Freestyle |
||||
|
Test Level |
ECFSC member fee |
Associate and Non-members |
Test Level |
ECFSC member fee |
Associate and Non-members |
|
PrePreliminary |
$35.00 |
$50.00 |
PrePreliminary |
$35.00 |
$50.00 |
|
Preliminary |
$40.00 |
$55.00 |
Preliminary |
$40.00 |
$55.00 |
|
PreJuvenile |
$50.00 |
$65.00 |
PreJuvenile |
$45.00 |
$60.00 |
|
Juvenile |
$45.00 |
$60.00 |
Juvenile |
$45.00 |
$60.00 |
|
Intermediate |
$60.00 |
$80.00 |
Intermediate |
$50.00 |
$70.00 |
|
Novice |
$60.00 |
$80.00 |
Novice |
$50.00 |
$70.00 |
|
Junior |
$65.00 |
$85.00 |
Junior |
$60.00 |
$80.00 |
|
Senior |
$70.00 |
$90.00 |
Senior |
$65.00 |
$80.00 |
Coach Signature: ________________________________ Print name: ____________________________
Signature of Parent/Guardian (if skater under 18): ____________________________________________
Permission to test for NON
Eau Claire Figure Skating Members: If
you are a USFSA member with a club OTHER than the Eau Claire Figure Skating Club,
you must provide permission from your home club’s duly authorized
representative as stated in the USFSA rulebook, by completing the following
information: (Skater____________________________) (USFSA # _____________) has
my permission to test with the Eau Claire Figure Skating Club on March 11, 2010.
The information on this test form is correct and the skater is a member in good
standing of the __________________________________________________________ (club).
___________________________________________ _____________________________ ______________
Signature of Home Club Test
Chair or Officer w/Title Printed Name Date
Or email permission to: 3013westridge@charter.net
PLEASE
BE AT THE RINK AND READY AT LEAST 60 MINUTES PRIOR TO SCHEDULED WARM-UP. Test
fees will not be returned if the test applied for is not taken; no refunds
issued for weather unless judging panel is incomplete. Only CDs (standard
compact disc format only) will be accepted. CDs must be clearly marked with
skater’s name, contain only one track, and be recorded on CD-R media (no CD-RWs).
Make checks payable to Eau Claire Figure Skating Club or ECFSC.
Mail
completed application and check to: Carmen Manning;
Questions can be addressed to Carmen at email: 3013westridge@charter.net or phone:
715-563-3880.