2015 AYFSC Dance Test App - All Year Figure Skating Club
ALL YEAR FIGURE SKATING CLUB DANCE TEST APPLICATION All applications with fees required for U.S. Figure Skating Moves in the Field (MIF) and/or Free Skating tests to be scheduled by the All Year FSC must be received by the All Year FSC Free Skating Test/MIF Chair three (3) weeks prior to the scheduled test session. Requested test dates may not be available due to the number of test requests and/or judge availability. If this is the case, tests will be rescheduled for the next available session. If the test candidate cancels the test for any reason other than doctor certified injury or illness, test fees will be forfeited and the test candidate must submit a new test request and test fees for the test to be rescheduled. If the test is rescheduled by the Test Chair, no additional fee(s) will be required. If the applicant is not a home club member of AYFSC, the applicant is responsible for obtaining permission to test from their home club. If the requested test time is on a non-All Year FSC Club Session, the test candidate is responsible for securing the ice and making all arrangements with rink management. Free Skating test session dates and times will be posted on the All Year FSC website: www.ALLYEARFSC.COM Test candidates are responsible for furnishing hospitality for the judges. Please contact the appropriate Test Chair for details. Submit this form with test fees to the AYFSC Free Skating Test Chair (checks payable to AYFSC) Please check location and send to appropriate chair: Center Ice Arena- Ontario Rainer Kokotakis 1011 Grant Street #A Santa Monica, CA 90405 310-308-3523 [email protected] The Rinks-Lakewood Ice Bettina Mortarotti-Koncius 28341 Trailriders Dr.. Rancho Palos Verdes, Ca 90275 310 710-2322 [email protected] LA Kings Valley Ice Center Tracy Kemper 2810 Trudeau Lane Palmdale, CA 93551 661-272-9443 [email protected] LA Kings Ice Town Riverside Jayne Rendel 3770 Deerlodge Circle Corona, CA 92881 951-403-2283 [email protected] Iceoplex - Simi Valley Lisa Edwards 1556 El Dorado Dr. Thousand Oaks, CA 91362 805-630-1608 [email protected] Test Candidate: USFSA#: Phone: Home club: E-mail: Age: Partner’s name: USFSA#: Coach: Signature: Phone: Email: Signature of Home Club official: (If applicant is not AYFSC Home club member; or you may attach a permission letter from applicants’ Home Club) Dance Tests requested for session date: Standard Dance Masters Fee Adult Dance Solo Fee Returned checks will incur a $25 returned check fee I certify the information above is correct and complete and have read and understood the conditions stated herein. I also understand that test session time and judge availability is limited, that I may not be able to have all the tests on the date requested, and sometimes tests may be re-scheduled for a different date and time by the Test Chair: Applicant’s signature: Parent or Guardian’s Signature: (If applicant is under 18 years of age) ALL YEAR FIGURE SKATING CLUB DANCE TEST APPLICATION Test Level Test fee per dance Test Level Test Fee per Dance Preliminary $25 1st; $10 ea additional Pre Gold $40 1st; $20 ea additional Pre Bronze $25 1st; $10 ea additional Gold $50 1st; $25 ea additional Bronze $25 1st; $15 ea additional International $50 each dance Pre Silver $35 1st; $15 ea additional Free Dance (Juv, Int, Nov) $35 per test candidate Silver $40 1st; $20 ea additional Free Dance (Junior, Senior) $55 per test candidate Solo Free Dance -all Levels $35 each Level Dances Preliminary Dutch Waltz Canasta Tango Rhythm Blues Pre-Bronze Swing Dance Cha Cha Fiesta Tango Bronze Hickory Hoedown Willow Waltz Ten Fox Pre-Silver Fourteenstep European Waltz Foxtrot Silver American Waltz Tango Rocker Foxtrot Pre-Gold Killian Blues Paso Doble Starlight Waltz Gold Viennese Waltz Westminster Waltz Quickstep Argentine Tango International Rhumba Austrian Waltz Cha Cha Congelado Yankee Polka Ravensburger Waltz Tango Romantica Silver Samba Golden Waltz Midnight Blues
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