Request for Team Placement
Season 2023-2024 (Deadline: 4/21/23)
Skater's Name
*
First Name
Last Name
Contact Information
Relationship to Skater
*
Please Select
Self
Parent
Grandparent
Adult Sibling
Guardian
Other
Relationship to Skater:
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Skater's Credentials
USFS or Learn To Skate Membership Number
If you have one, please provide it here
Birthdate
*
-
Month
-
Day
Year
Date
Current Age
Did You Skate With Chiller Synchro This Season?
*
Yes
No - I am new to synchro!
No - I skated with a different organization
22-23 Season Competition Level
*
Aspire Beginner (Coach Sophia)
Aspire Preliminary (Silver Team)
Open Juvenile (Blue Team)
Open Adult (Coach Ashley)
2022-2023 Season Competition Level
Please Select
I am new to Synchro!
Snow Plow Sam
Aspire Beginner
Aspire Pre-Preliminary
Aspire Preliminary
Preliminary
Juvenile
Pre-Juvenile
Open Juvenile
Intermediate
Novice
Junior
Senior
Synchro Organization You Skated With This Year. (Please be sure to send us your completed "Synchronized Skating Team Release Form")
Please list your private coach(es) and their disciplines (If you're not in private lessons, write "none.")
*
Learn-To-Skate Levels & USFS Testing
Are you currently taking Learn-to-Skate classes?
Please Select
Yes
No
Please select the learn-to-skate level you are currently enrolled in.
Please Select
Basic 1 or 2
Basic 3
Basic 4
Basic 5
Basic 6
Aspire
Highest Level of Moves in the Field Passed. If you are unfamiliar with U.S. Figure Skating testing, please select "No Test Yet."
*
No Test Yet
Pre-Preliminary or Adult Pre-Bronze
Preliminary or Adult Bronze
Pre-Juvenile or Adult Silver
Juvenile or Adult Gold
Intermediate
Novice
Junior
Senior
Highest Level of Dance Passed. If you are unfamiliar with U.S. Figure Skating testing, please select "No Test Yet."
No Test Yet
Preliminary (passed Dutch Waltz, Conasta Tango, and Rythm Blues)
Pre-Bronze (passed Cha Cha, Fiesta Tango, and Swing Dance)
Bronze (passed Willow Waltz, Hickory Hoedown, and Ten Fox)
Pre-Silver (passed Fourteenstep, European Waltz, and Foxtrot)
Silver (passed American Waltz, Tango, and Rocker Foxtrot)
Pre-Gold (passed Kilian, Blues, Paso Doble, and Starlight Waltz)
Gold (Viennese Waltz, Westminster Waltz, Quickstep, and Argentine Tango)
Some or All International Dances
Highest Level of Free Skate Passed. If you are unfamiliar with U.S. Figure Skating testing, please select "No Test Yet."
No Test Yet
Pre-Preliminary or Adult Pre-Bronze
Preliminary or Adult Bronze
Pre-Juvenile or Adult Silver
Juvenile or Adult Gold
Intermediate
Novice
Junior
Senior
Submit
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