Testing Application - Greater Green Bay Figure Skating Club

GREATER GREEN BAY FIGURE SKATING CLUB
TESTING APPLICATION
Test Date: Friday, August 21, 2015
Cornerstone Community Center
GGBFSC Members Application Due Date: Aug. 3, 2015 (received date, NOT post mark date.)
Application Due Date: Aug. 10, 2015 or until test session is full.
NAME
USFS #
ADDRESS
CITY
MUST BE PROVIDED!
ST
ZIP
E-MAIL ADDRESS: ____________________________________PHONE #_______________
CLUB _________________________________
SKATER’S SIGNATURE(OR PARENT IF SKATER IS UNDER 18)_____________________
PRIMARY COACH’S SIGNATURE ____________________ AND USFS #_____________
E-MAIL ____________________________
DANCE COACH’S SIGNATURE ____________________ AND USFS #_____________
E-MAIL ____________________________
Coaches must be registered as a coach with USFS to coach at all USFS events– registration will
be checked with USFS - Pick up credentials at registration – must be worn in all coaching areas)
All GGBFSC member families having one or more skaters participating in this test session must
put in at least 1 service hour in support of this test session, regardless of the number of tests
being taken. If a member family does not complete 1 hour of service, you will be billed $15.00, per
club policy. If you think you will have a conflict with volunteering, please contact a test chair as
soon as possible. We may have other ways for you to fulfill this requirement.
Check or highlight the box(es) of the test(s) you wish to take:
Test
Cost
Moves
Pre-Preliminary
Preliminary/Adult
pre-bronze
Pre-Juvenile/Adult
bronze
Juvenile/Adult
silver
Intermediate/
Adult gold
Novice
Junior
Senior
Freestyle
Pre-Preliminary
Preliminary/Adult
Pre-bronze
Pre-Juvenile/Adult
bronze
Juvenile/Adult
silver
Intermediate/Adult
gold
Novice
Junior
Senior
Test
Cost
Partner
Fee
Test
Cost
Partner
Fee
$35
$35
Preliminary
Dutch Waltz
Canasata Tango
$35
$35
$15
$15
Silver
American Waltz
Tango
$55
$55
$25
$25
$45
Rhythm Blues
$35
$15
Rocker Fox Trot
$55
$25
$45
Pre Bronze
$55
Swing Dance
$40
$15
Kilian
$60
$25
$55
$65
$65
$40
$40
$15
$15
$25
$25
$25
$45
$45
$45
$20
$20
$20
$70
$70
$30
$30
$35
Pre-Silver
Blues
Paso Doble
Starlight Waltz
Gold
Viennese Waltz
Westminster
Waltz
Quick Step
$60
$60
$60
$25
$30
Cha Cha
Fiesta Tango
Bronze
Hickory Hoedown
Willow Waltz
Ten Fox
$70
$30
$40
Fourteen Step
$50
$20
Argentine Tango
$70
$30
$45
European Waltz
$50
$20
International
$50
$55
$60
Foxtrot
$50
$20
List Name below
$755
$35$
Pre Gold
.
List Name of International Dance or test not listed above:_____________________
Dance partner: Andrew Beck
I choose to provide my own dance partner. Name of partner: _____________________________. If you
choose your own partner you are responsible for your own practice time and payment of partner fees
directly to your partner.
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Practice Ice:
Practice ice will be available at the De Pere Ice Center on Wednesday and Thursday. Cost is $20.00 per
hour for non-GGBFSC members, and $13 per hours for GGBFSC members.
Partner Practice:
Partner Practice will be scheduled between on Wednesday or Thursday. If there is a time of day you
cannot practice, please mark the off the box below. We will do our best to accommodate, however, if you
do not show up for your scheduled time, without contacting a test chair, you will still be charged and must
pay the balance due prior to testing.
Mark the time you CANNOT practice:
Wednesday
Thursday
9am – 12pm
1-4pm
4-8pm
Payment:
Payment must be received with the testing application. Application must be completed fully, or will not be
a valid test application.
No changes to your testing application will be accepted after Aug. 3, 2015. Also, no refunds will be
given for tests that are withdrawn after this date (unless your spot can be filled with another skater.)
Please note that partner practice fees are in addition to the test and partner fees. The fee is
approximately $20 per 15 minutes of lesson time and will be determined at the time of scheduling. More
time is given for high dance test levels, thus the fee will be higher.
Test Cost
$
Partner Fees
$
*Non-Wisconsin
$
Figure Skating
Council Club Fee
$20.00.
Late Fee if received $
after the closing
date.
Judge Fee
$10.00
(required)
Total Due
$
*Please pay this fee if your club is NOT a member of the Wisconsin Figure Skating Council.
Make checks payable to the GGBFSC and mail forms to:
Jennifer Kreuser
1661 Happiness Circle
Green Bay, WI 54311
All payments for testing and practice times should be made by check. This is so we can keep better track
of who pays what. This is for you protection.
If the test session fills and you are not able to test, your check will be shredded.
Questions: email Kristin at [email protected] (preferred) or call 920-639-1914 before 8:30pm.
***NON-GGBFSC or NON-VFSC testers*** PERMISSION TO TEST MUST must be obtained from your home club test
chair. Permission to test: (Skater in good standing with Club/USFS and Eligible to test according to 2014 USFS Rulebook criteria) as
indicated by signature of Test Chair. (Email permission is acceptable)Home Club Test Chair’s Signature
_____________________________________Date_________
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