Discipline: Name: Date of Birth: Gender: Height: British Citizen (Y/N): Location (Town, County): Will relocate? Current Coach: Current Rink/Club: I want to compete at (level): Highest tests held: Ice Dance Eleanor Hirst 29 Nov 1998 Female 5 Ft. Y SOUTH YORKSHIRE Under exceptional circumstances, for the right partner Viv Dean, Nancy Ambler, David Hartley Phil Askew Ice Sheffield Junior/Senior Lv 10 F.D. & C.D. Lv 9 Fld Moves Lv6 Elements & Free To establish a new partnership and compete internationally. What are your skating goals in the short/long term? What qualities do you possess that make you a good partner? Any other information, including CONTACT DETAILS: I am hardworking and have an eye for detail. I take on board any feedback and do not get disheartened by setbacks. I rise to most challenges and enjoy working to deadlines. Please contact any of my coaches for further details, alternatively you can contact me direct via email at [email protected] Please sign and date the form below: Signature: Parent/Guardian Name and Signature if under 18: Eleanor Hirst H.Hirst H Hirst Date: 03rd Nov.2014 NISA Number: A21195
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