Valley Figure Skating Club Test Application
Thursday & Friday Oct. 30 &31, 2008
at
1717 E Witke
Rd. Appleton, WI 920-830-7679 (Do NOT mail form to rink)
Please check tests you are taking:
Moves in the Field: Freestyle:
Pre-Preliminary $30_____ Pre-Preliminary $20_____
Preliminary $30_____ Preliminary $25_____
Pre-Juvenile $40_____ Pre-Juvenile $30_____
Juvenile $40_____ Juvenile $35_____
Intermediate $50_____ Intermediate $40_____
Novice $50_____ Novice $45_____
Junior $60_____ Junior $50_____
Senior $60_____ Senior $55_____
Dance: Adult
Bronze $30_____
Preliminary $30 Adult Silver $35_____
Dutch Waltz _____ Adult Gold $40_____
Partner
practice will be assigned for all dance tests and is an additional fee. If
a skater fails to show up for the scheduled practice, they will be required
to pay for the practice before they are allowed to test. Failure to pay for
missed practice time fee will result in loss of testing privileges.
Canasta Tango _____
Rhythm Blues _____
Pre-Bronze $35
Swing _____ Dance
Partner Fees:
Cha-Cha _____ Andrew Beck (Per Dance)
Fiesta Tango _____ Preliminary $15.00
Bronze $40 Pre-Bronze $15.00
Willow _____ Pre-Silver $20.00
Ten Fox _____ Silver $25.00
Pre-Silver $45 Pre-Gold $25.00
14 step _____ Gold $30.00
European _____ International $35.00
Foxtrot _____ Non-VFSC or GGBFSC Members Add $20
Silver $50 TOTAL COST: $__________________
American _____ Return to: Mary Bricco
Tango _____
Rocker Foxtrot _____
Pre-Gold $55 920-982-9828
Kilian _____ marybricco@hotmail.com
Blues _____ Make checks payable to:
Paso Doble _____ Valley
Figure Skating Club
Starlight _____ NO REFUNDS!
Gold $65 TEST SESSION
FORMS DUE Oct. 20, 2008
Skater
Name:__________________________________________ USFS
Number:_________________________________________ Parents
Name: ________________________________________ Phone
Number: ________________________________________ E-mail:
_______________________________________________ Home
Club (Do Not Abbreviate):____________________________ Coaches
Signature: _____________________________________ Coaches
E-mail: ________________________________________
Viennese _____
Quickstep _____
Argentine _____
International $70
Name of dance:
______________________
NON-
VFSC SKATERS ONLY: The signature of the Test Chair attests that the skater is in good
standing with their Home Club, and US Figure Skating, and is eligible to
test. Test
Chair Signature: _____________________________________