ID24-01F-V1 Ice Dance Registration Form
Submit Couples and Solo Dance as a separate registrations
Athlete Details
Athlete 1 Name
*
Athlete 2 Name
Division at time of registration
*
Senior
Junior
Advanced Novice
Intermediate Novice
Basic Novice
Elementary
Preliminary
Adult Bronze
Adult Silver
Adult Gold
Adult Masters
Adult Elite Masters
Dance Type
*
Couple
Solo
ISA Member Association
*
ACTISA
FSANT
FSAT
ISQ
ISV
NSWISA
SAISA
WAISA
Club
Email
example@example.com
Training Rink
*
Back
Next
Team Officials
Coach 1
*
First Name
Last Name
Coach 1 Email
*
example@example.com
Coach 1 Phone Number
*
-
Area Code
Phone Number
Coach 2 Name
First Name
Last Name
Coach 2 Email
example@example.com
Coach 2 Phone Number
-
Area Code
Phone Number
Back
Next
Please list below which competitions are being planning to enter in 2024-2025
*
2024 Australian Figure Skating Championships
*
Yes
No
2024-2025 International Competitions
*
Yes
No
Name of Person submitting information
*
Relationship to athlete(s)
*
Contact Email
*
example@example.com
Contact Phone Number
*
-
Area Code
Phone Number
Date
-
Day
-
Month
Year
Date
Submit
Should be Empty: