Team Ashburn Synchronized Skating Tryout Registration 2020-2021

Team Ashburn Synchronized Skating

Tryout Registration 2020-2021
Thank you for your interest in Team Ashburn Synchronized Skating for the 2020-2021 season! Please complete the following form to register for tryouts. We look forward to another great season of synchro!

Should you have questions about tryouts or Team Ashburn, please contact the Director of Skating, Cass Cross, at director@teamashburn.org.

Team Ashburn Synchronized Skating

Tryout Registration 2020-2021
Skater & Parent Information
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Skater First Name: *
Skater Last Name: *
Date of Birth: *

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Primary Parent/Guardian First Name: *
Primary Parent/Guardian Last Name: *
Primary Parent/Guardian Email Address: *
example@example.com
Primary Parent/Guardian Phone Number: *

Area Code Phone Number
Secondary Parent/Guardian First Name:
Secondary Parent/Guardian Last Name:
Secondary Parent/Guardian Email Address:
example@example.com
Secondary Parent/Guardian Phone Number:

Area Code Phone Number
Skater Email Address: *
(If your skater does not have an email address, type NONE@gmail.com)

Home Address: *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Skater USFS #: *
(If your skater does not have a USFS # or you do not know it, type NONE):

Synchronized Skating History
2019-2020 Team Ashburn Team Level: *
If your skater was on a team other than Team Ashburn for the 2019-2020 season, please enter the team/organization name and level skated: *
(If your skater did not skate on a team other than Team Ashburn for the 2019-2020 season, type NONE):

USFS Test Levels Passed
Highest Learn to Skate Level Passed: *
Highest Moves in the Field Test Passed: *
Highest Freestyle Test Passed: *
Highest Ice Dance Test Passed: *

Waivers
2020-2021 Assumption and Acknowledgment of Risks and Release of Liability Agreement
This is to certify that I, a parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of all the Releasees, and, for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releasees from any and all liabilities incident to my minor child's involvement or participation in these programs as provided above, EVEN IF ARISING FROM NEGLIGENCE OF THE RELEASEES, to the fullest extent permitted by law. Enter name below. * *
Your Answer

2020-2021 Media Release Agreement
This is to certify that I, a parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above. Enter name below. *
Your Answer

Registration Fee *

USD Register before February 21: $65 per skater and includes all on-ice sessions. Register after February 21: $80 per skater and includes all on-ice sessions.

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Expiration Date	Postal Code

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Team Ashburn Synchronized Skating

Team Ashburn Synchronized Skating

Skater & Parent Information

Synchronized Skating History

USFS Test Levels Passed

Tryout Sessions

Waivers