Ice Skating Club of Indianapolis, Inc.
2017-2018 Season Test Date: _________
TEST APPLICATION Skater’s Name US Figure Skating #
Home Club (REQUIRED, or indicate PENDING)
Address
City
Phone #1
State
Phone #2
Zip
Coach’s Authorization Pairs/Dance Partner’s name _____________________________ US Figure Skating #________________ Please mark below the test(s) to be taken: MOVES IN THE FIELD Pre Preliminary Preliminary Pre Juvenile Juvenile Intermediate Novice Junior Senior
ADULT MOVES IN THE FIELD Pre Bronze Bronze Silver Gold
PAIRS – per skater
FREE SKATING $40 $45 $55 $60 $65 $70 $75 $80
Pre Preliminary Preliminary Pre Juvenile Juvenile Intermediate Novice Junior Senior
$25 $30 $35 $40 $45 $55 $60 $65
ADULT FREE SKATING $45 $50 $55 $60
Pre Bronze Bronze Silver Gold
$30 $35 $40 $45
DANCE
ADULT DANCE
(Per dance, per skater. List dances.)
(Per dance, per skater. List dances.)
Preliminary Pre Bronze Bronze Pre Silver Silver Pre Gold Gold International Dances:
$30 $35 $40 $45 $50 $55 $60 $65
Preliminary Pre Bronze Bronze Pre Silver Silver Pre Gold Gold International
$30 $35 $40 $45 $50 $55 $60 $65
Pre Juvenile Juvenile Intermediate Novice Junior Senior
$30 $35 $40 $45 $50 $55
FIGURES – AVAILABLE UPON REQUEST
Preliminary
$40
FREE DANCE and MASTER FREE DANCE (Per dance, per skater)
Juvenile Intermediate Novice Junior Senior
$40 $45 $55 $60 $65
TEST FEES: $
ALL SKATERS MUST ADD $15 FOR JUDGES’ FOOD and TRAVEL EXPENSES: $
15.00
OUT-OF-STATE and INDIVIDUAL-REGISTERED SKATERS MUST ADD $25: $
TOTAL FEES ENCLOSED: $ Fees MUST accompany application. $25 Late Fee assessed for applications received after posted deadline for the test session. Standard deadline (subject to change) is ten calendar days prior to test date. CHECKS PAYABLE TO: Ice Skating Club of Indianapolis Written permission from your home club is required if you are not a member of ISC of Indianapolis. MAIL TO: ISCI 1040 3rd Ave SW, Carmel, IN 46032 Attention: Gordon MacKay Test Chair All tests subject to availability and expenses related to judges