Penguin Figure Skating Club

320 East First Street f Bethlehem, PA  18015 f www.penguinfsc.com

TEST APPLICATION

                                                                                      Test Date:_______________

Name of Skater:________________________       USFSA#:________________

Street Address:____________________________________________________

City/ State / Zip:___________________________________________________

Phone Number:____________________________________________________

Email:___________________________________________________________

Coach’s Name:____________________  Coach’s Signature;________________

Test(s) to be taken:_________________________________________________                                                                              

Total Fees (see page 2)…………………………………………………...        $_______

+Ice Fees ($12 for the 1st test and $6 for every additional test)………..................     $_______ 

+Hospitality Fee $10 (includes food and beverages for judges and snacks for skaters) $         10.      

+Guest Fee of $30 for all non-Penguin FSC Members……………….         $_______

+Late Fee of $25 if applicable………………………………………. $_______

                                                                             Total Test Fee Enclosed     $_______

 

Permission to Test for a Non-Penguin FSC Member

 

This is to certify that_________________________ is a member in good standing of the ________________________ Club, and has permission to take the ______________________________ test(s) on the above date.  Test Chair Signature:________________________

 

General Information

 

The total fee must accompany this application.  Incomplete or unpaid applications will not be accepted, but will be returned and will be subject to a late fee of $25 if not returned by the deadline.

 

Completed applications must be received by Noon on the date posted or they will be subject to a $25 late fee.  Late applications will be accepted at the discretion of the Test Chair.  A $25 fee will be charged for any checks received with insufficient funds.

 

No refunds will be granted after the deadline unless the session is canceled or judges cannot be obtained. 

 

Return completed application to the Penguin FSC

c/o Steel Ice Center 320 East First Street f Bethlehem, PA  18015.

Make checks payable to the Penguin FSC or PFSC.

                                                                                                                                      

                                                                                                                        PFSC Test Application 8/24/09