2021-2022 Team Ashburn Synchronized Skating Workshop & Tryout Registration

Team Ashburn Synchronized Skating

Tryout Registration 2021-2022
Thank you for your interest in Team Ashburn Synchronized Skating for the 2021-2022 season! Please complete the following form to register for our Tryouts. We look forward to another great season of synchro!

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

Tryout Groups & Schedule

Location: Ashburn Ice House - 21595 Smith Switch Road Ashburn, VA 20147

Tuesday, March 23
- Group A: Basic 4-Pre-Preliminary Moves - 5:00-5:45pm
- Group B: Preliminary-Pre-Juvenile Moves - 6:00-7:00pm
- Group C: Juvenile-Intermediate Moves - 7:15-8:15pm
  - Skaters under the age of 12 as of July 1, 2021 who have passed higher than Intermediate Moves in the Field should register for this Tryout group.
- Group D: Novice-Senior Moves - 8:30-9:30pm
  - Skaters must be at least the age of 12 as of July 1, 2021 to register for this Tryout group.
Wednesday, March 24
- Group A: Basic 4-Pre-Preliminary Moves - 5:00-5:45pm
- Group B: Preliminary-Pre-Juvenile Moves - 6:00-7:00pm
- Group C: Juvenile-Intermediate Moves - 7:15-8:15pm
  - Skaters under the age of 12 as of July 1, 2021 who have passed higher than Intermediate Moves in the Field should register for this Tryout group.
- Group D: Novice-Senior Moves - 8:30-9:30pm
  - Skaters must be at least the age of 12 as of July 1, 2021 to register for this Tryout group.
Tryout Pricing
- Register after February 26, 2021: $85 for both Tryout Sessions. Skaters must register for both Tryout sessions, but are only required to attend one session. It is highly recommended for skaters to attend both sessions.

Skater & Parent/Guardian Information
Skater First Name: *
Skater Last Name: *
Skater Date of Birth: *

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

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Synchronized Skating History
2020-2021 Team Ashburn Team Level: *

I was not on a Team Ashburn team for the 2020-2021 season. Synchro Skills 1 Synchro Skills 3 Preliminary Pre-Juvenile Open Juvenile Juvenile Novice Junior
If your skater was on a team other than Team Ashburn for the 2020-2021 season, please enter the team/organization name and level skated below: *
(If your skater did not skate on a team other than Team Ashburn for the 2020-2021 season, type NONE):

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

Workshop Sessions

Workshops are now complete! We hope to see you next year!
Are you registering for the Team Ashburn Workshop sessions?

Yes No
If you are registering for the Workshop sessions, which Workshop sessions do you plan to attend?

Group 1: Basic 4-Pre-Preliminary Moves in the Field Test Passed Group 2: Preliminary-Juvenile Moves in the Field Test Passed Group 3: Intermediate-Senior Moves in the Field Test Passed My skater will not attend the Workshop sessions.

Waivers
FOR PARENTS/GUARDIANS OF PARTICIPANTS OF MINORITY AGE (UNDER AGE 18 AT TIME OF REGISTRATION): By entering my name below, I 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. *
Parent/Guardian First and Last Name

Waivers
FOR PARENTS/GUARDIANS OF PARTICIPANTS OF MINORITY AGE (UNDER AGE 18 AT TIME OF REGISTRATION): By entering my name below, I certify that I, a parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above. *
Parent/Guardian First and Last Name

Payment Information
Register after February 26, 2021 for TRYOUTS ONLY: $85 for both Tryout sessions.

Registration Fee Payment Information *

USD Description

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Date	Postal Code

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Team Ashburn Synchronized Skating

Skater & Parent/Guardian Information

Synchronized Skating History

USFS Test Levels Passed

Workshop Sessions

Tryout Sessions

Waivers

Waivers

Payment Information