Penguin Figure Skating Club
c/o The
Test Application
Test Date:_________________
Name of Skater:___________________________________________________USFSA#____________
Street Address: _______________________________________________________________________
City/State/Zip________________________________________________________________________
Phone Number:______________________________________________________________________
Coach’s Name:__________________________Coach’sSignature:___________________________
Test (s) to be taken:___________________________________________________________________
Total Test Fee Enclosed:_____________
(Test Fees _____ + Ice Time _____ +
Hospitality $10)
Permission to Test
for Non-Penguin FSC Members
This is
to certify that _________________________________________is a member in good
standing of the ________________________________________________________Club,
and has the permission to take the __________________________________________test(s)
on the above date.
Test
Chair Signature:_______________________________________
General Information :
1.
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 $20 if not returned by the
deadline.
2.
Completed
applications must be received by
3.
Late
applications will be accepted at the discretion of the Test Chair.
4.
No
refunds will be granted after the deadline unless the session is canceled or
judges cannot be obtained.
Return completed
applications to the
S. Fitzsimmons,
Penguin FSC Test Chair,
c/o The
Make checks payable to : Penguin Figure Skating Club or PFSC
Test Fee Schedule –
Current as of
Moves in the
Field
FREESTYLE
_____ Pre-Preliminary . .
. . $15 _____ Pre- Preliminary .
. . . $15
_____ Preliminary . . . .
. . . $20
_____ Preliminary . . . . . .
. $20
_____ Pre-Juvenile . . .
. . . . $25
_____ Pre-Juvenile . . . . . .
. $25
_____ Juvenile . . . . .
. . . . . .$30
_____ Juvenile . . . . . . . . .
. . $30
_____ Intermediate . . .
. . . . $35 _____ Intermediate . . . . . . . $35
_____ Novice . . . . . .
. . . . . . $40
_____ Novice . . . . . . . . . .
. . $40
______ Junior . . .
. . . . . . . . . $45 _____ Junior . . . . . .
. . . . . . . $45
______ Senior . . .
. . . . . . . . . $50 _____ Senior . . . . . .
. . . . . . . $50
______ Adult Pre-Bronze .
. ..$20 _____ Adult Pre-Bronze . . . . $20
______ Adult Bronze . . .
. . . .$30
_____ Adult Bronze . . . . . . .
. $30
______ Adult Silver . . .
. . . . . $40
_____ Adult Silver . . . . . . . . . $40
______ Adult Gold . . . .
. . . . $50 _____ Adult Gold . . . .
. . . . . . $50
Test
form page 2
COMPULSURY DANCE
_____ Preliminary
. . . . . . . $15 DW CT RB Standard Solo
Master
_____ Pre Bronze . . . . . . . . .$16 SD CC FIT Standard Solo
Master
_____ Bronze . . . . . . . . . . . . $17 HH WIW TF
Standard Solo
Master
_____ Pre-Silver . . . . . .
. . .
$20 14S EW FT Standard Solo
Master
_____ Silver . . . . . . . .
. . . . . $20 AW T RF Standard Solo
Master
_____ Pre-Gold . . . . . . . . . . $25
K BL PD SW
Standard Solo Master
_____ Gold . . . . . . . . . . .
.. . $35 VW WW QS AT
Standard Solo Master
International Test
to be taken _________________________________________________________
FREEDANCE
_____ Juvenile . . . . . . . . . . . .$20
Standard Solo Master
_____ Intermediate . . . . . . . .$30
Standard Solo Master
_____ Novice . . . . . . . . . . . . .$40
Standard Solo Master
_____ Junior . . . . . . . . . . . . . $45 Standard Solo
Master
_____ Senior . . . . . . . . . . . . . $50 Standard Solo
Master
PAIRS
_____ Preliminary
. . . . . . . . .$20
_____ Juvenile . . . . . . . . . . . $25
_____ Intermediate . . . . .
. . . $30
_____ Novice . . . . . . . . . . . . . $40
_____ Junior . . . . . . . . . . . . . .$45
_____ Senior . . . . . . . . . . . . . $50
_____ Late Fee . . . . . . . . . . . .$20
_____ Non-Club Member Fee $35
_____ Ice Time Fee . . . . . . . . $10 For the first test $5 for each additional test
_____ Hospitality fee . . . . . . . $10 This fee covers food for judges and snacks/drinks
testing skaters.