ARCTIC BLADES TEST APPLICATION

 

Name of candidate:______________________________ USFSA#:_________________

Home Club:___________________ Application date:___________ Age: ___________

Phone number:__________________ Test date: __________Email________________

*Fees same for partial or complete test

**Fee is per test candidate

Moves in the Field:                                                         Singles Freeskate:

Pre-Preliminary ( $25 ): ___                                                Pre_Preliminary ( $20 ):___

Preliminary ( $ 30 ): ___                                                      Preliminary ( $25 ): ___

Pre-Juvenile ( $30 ): ___                                                     Pre-Juvenile ( $30 ): ___

Juvenile ( $30 ): ___                                                            Juvenile ( $30 ) : ___

Intermediate: ( $35 ) : ___                                                    Intermediate ( $35 ): ___

Novice ( $35 ) : ___                                                             Novice ( $35 ) : ___

Junior ( $40 ) : ___                                                               Junior ( $40 ) : ___

Senior ( $40 ) : ___                                                             Senior ( $40 ) : ___

Pairs Freeskate:

Preliminary ( $25 ):___

Juvenile ( $30 ): ___

Intermediate: ( $35 ) : ___

Novice ( $35 ) : ___

Junior ( $40 ) : ___

Senior ( $40 ) : ___

All applications must be received 1 week before test . Late applications will be accepted based on space availability and at the discretion of the test chair. A $15 late fee must be included. $50 FEE FOR NON-CLUB MEMBERS No refunds will be given unless the test is cancelled or a certified injury.

Requested test dates may not be available due to number of tests and judge availability.

****ALL NON-ABFSC HOME CLUB CANDIDATES MUST HAVE A LETTER OF PERMISSION FROM THEIR HOME CLUB BEFORE THEY CAN TEST!

TOTAL TEST FEES: $___________

HOSPITALITY FEES: $5.00________ NON-CLUB MEMBER FEE: $___________

LATE FEE: $___________

TOTAL FEES ENCLOSED: $___________

I certify that I am eligible to take the above test and that I am a member in good standing with my club. I also understand that due to availability of judges, ice and testing time the date of the test is subject to change.

Candidate Signature:___________________________________________________________________________________

Parent or Guardian Signature (if skater under 18 years of age):_________________________________________________

Candidate’s Coach/Professional’s Signature: ________________________________________________________________

Mail applications to: Arctic Blades Testing OR Put in club box at Ice Castle

                                    PO Box 3141

                                    Lake Arrowhead, CA 92352