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Western Michigan University Skating Club Test Application
**Due by February 26th, 2021**
Date of Test Session: March 12th, 2021
Location: Wings West: 5076 Sports Dr, Kalamazoo, MI 49009
Test Chair Contact Info: CJ Monroe (703)489-6723 wmuskatingcc@gmail.com
First Name
*
Last Name
*
Street Address
*
Address Line 2
City
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
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Louisiana
Maine
Maryland
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Michigan
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Montana
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New Hampshire
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Ohio
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Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
*
Phone Number
*
Email Address
*
**
All out of club skaters are subject to a $15 fee
**
This fee is wavied for all GKSA skaters
Out of Club?
*
Yes ($15.00)
No ($0.00)
Home Club
*
USFSA #
*
Test Completes Series
*
Yes
No
***No late application will be accepted!***
Home Club applications take precedence over out-of-club applications
All fees are non-refundable, unless test session is canclled by host club
If WMUSC is not your home club, Test Permission Form from Home Club is required with application
Out-of-Club Testing Permission Form
Date
*
+
Coach's USFSA #
*
Coach's Phone Number
*
Coach's Email
*
By signing below, I am authorizing the above named applicant to participate in the events selected on the reverse of this form. I also confirm that I have the necessary authority to grant such permission.
Parent/ Guardian Signature (if under age 18)
*
clear
Date
*
+
Tests:
Ice Dance
Please Select One:
Solo
Partnered
Partner Pandemic Credit
Preliminary:
Dutch Waltz ($25.00)
Canasta Tango ($25.00)
Rhythm Blues ($25.00)
Pre-Bronze:
Swing Dance ($30.00)
Cha Cha ($30.00)
Fiesta Tango ($30.00)
Bronze:
Hickory Hoedown ($30.00)
Willow Waltz ($30.00)
Ten-Fox ($30.00)
Pre-Silver:
14 Step ($35.00)
European Waltz ($35.00)
Foxtrot ($35.00)
For those testing dances silver or higher, please note if you will be testing solo, partnered, or partner pandemic credit
Please select one:
Solo
Partnered
Partner Pandemic Credit
Silver:
American Waltz ($35.00)
Tango ($35.00)
Rocker Foxtrot ($35.00)
Pre-Gold:
Killian ($40.00)
Paso Doble ($40.00)
Starlight Waltz ($40.00)
Blues ($40.00)
Gold:
Viennese Waltz ($40.00)
Westminster Waltz ($40.00)
Quickstep ($40.00)
Argentine Tango ($40.00)
Junior International:
Rhumba ($45.00)
Starlight Waltz ($45.00)
Austrian Waltz ($45.00)
Cha Cha Congelado ($45.00)
Senior International:
Samba ($45.00)
Yankee Polka ($45.00)
Ravensburger Waltz ($45.00)
Tango Romantica ($45.00)
Golden Waltz ($45.00)
Free Dance
Free Dance:
Juvenile (45.00)
Intermediate (50.00)
Novice (55.00)
Junior (60.00)
Senior ($65.00)
Solo or Partnered?
Solo
Partnered
Adult Dance:
Please contact test chair if you wish to test Adult Dance
Moves in the Field
Moves in the Field
Pre-Preliminary($25.00)
Preliminary ($30.00)
Pre-Juvenile ($35.00)
Juvenile ($40.00)
Intermediate ($45.00)
Novice ($50.00)
Junior ($55.00)
Senior ($60.00)
Adult Moves in the Field
Pre-Bronze ($50.00)
Bronze($55.00)
Silver($60.00)
Gold($65.00)
Free Skate
Free Skating:
Pre-Preliminary($25.00)
Preliminary ($30.00)
Pre-Juvenile ($35.00)
Juvenile ($40.00)
Intermediate ($45.00)
Novice ($50.00)
Junior ($55.00)
Senior ($60.00)
Pairs/ Adult Freeskate:
Please contact test chair if you wish to test Pairs, Adult, or Adult Pairs Freeskate
Current Total:
$0.00
Calculate
Please submit all payments through
Venmo:
@WMUSkating-Club
* All payments must be recieved within 4 days of form submission*