dance test application - Skokie Valley Skating Club
SKOKIE VALLEY SKATING CLUB
Member of the United States Figure Skating Association
DANCE TEST APPLICATION
Day/Date of Test_______________________________________
Candidate Name ________________________________________________________________
USFSA#___________________________ Home Club________________________________
Address _______________________________________________________________________
City, State, ZIP__________________________________________________________________
Telephone #___________________________________
Test(s) to be taken ________________________________________________________________
Type of test: ____Standard (Solo ___Yes ___No)
____Adult ____Master ____Solo
Name of Coach: __________________________________________________________________
Skating Partner’s Name: _____________________________________________________________
TEST FEES: Included in the fee is ice cost, USFSA fee, and judges expenses.
Preliminary
Pre-Bronze and Bronze
$15 per Dance
$20 per Dance
Pre-Silver, Silver and Pre-Gold $30 per Dance
Gold $40 per Dance
International and All Free Dances $50 per Dance
DuPage out-of-club fee is $20.00; if both dance team partners (testing as a team) are DuPage members, the out-of-club fee is $20 for each skater.
Total Due $__________________ Make check payable to “Skokie Valley Skating Club”
Mail to: Heide Schiller
733 Juniper Rd.
Glenview, IL 60025
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If testing two levels, please make out one check per level.
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Return this form (with all information legibly filled in) with your check.
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Cancellations less than 7 days prior to test date will forfeit fees.
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If a permission letter is required, please enclose it with your check.
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Test sessions are filled by postmark on a first come, first served basis.
Application form, check, and letter of permission (if required) must be received 15 days prior to test date.
Any questions? Call Heide Schiller at (847) 729-0641.
