Skater Intention Form - Chiller Synchro 2021 Try-outs

Chiller Synchro 2021 Try-outs

Skater Intention Form
Skater's Name *

First Name Last Name
Skater's Phone Number
Please enter a valid phone number.
Skater's Birthdate *

Month Day Year
Date
Skater's Gender *
Parent/Guardian #1: Name *

First Name Last Name
Parent/Guardian #1: Phone Number *
Please enter a valid phone number.
Parent/Guardian #1 E-mail: *
example@example.com
Parent/Guardian #2: Name

First Name Last Name
Parent/Guardian #2: Phone Number
Please enter a valid phone number.
Parent/Guardian #2 E-mail:
example@example.com
Did you skate for Chiller Synchro Last Season? *

Yes No
Did you skate for another synchro team last season? *

Yes No
Which team did you skate with last season?
What competition level did you skate at last season? *
Other:
Which level team are you trying out for this coming season? *

Pre-Juvenile/Open Juvenile Intermediate
Moves in the Field (MIF) level (last passed)? *
Have you passed any ice dance or free skate tests? *
Ice Dance test level (last passed)?
Have you passed any Pre-Bronze dances? If so, which ones?

Swing Dance Cha Cha Fiesta Tango None
Have you passed any Bronze dances? If so, which ones?

Hickory Hoedown Willow Waltz Ten-Fox None
Have you passed any Pre-Silver dances? If so, which ones?

Fourteenstep European Waltz Foxtrot None
Have you passed any Silver dances? If so, which ones?

American Waltz Tango Rocker Foxtrot None
Have you passed any Pre-Gold dances? If so, which ones?

Killian Blues Paso Doble Starlight WaltzNone None
Have you passed any Gold dances? If so, which ones?

Viennese Waltz Westminster Waltz Quickstep Argentine Tango None
Free Skate level (last passed)?
Please select all the field moves you are able to successfully perform. *

LFO/LFI spiral RFO/RFI spiral RFO spread eagle LFO spread eagle LFO Ina Bauer RFO Ina Bauer 135 (Y-spiral) Other/Comments
Field Moves Comments
Please list all of your skating coaches and the disciplines they are teaching you. (MIF, Free Skate, Dance, and Others) *
Should be Empty:

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