Test Date: |
______________________________________ |
Name: |
______________________________________ |
Email Address: |
______________________________________ |
Phone Number: |
______________________________________ |
U.S. Figure Skating Member #: |
______________________________________ |
Test(s) to be taken: |
______________________________________ |
Coach's Signature: |
______________________________________ |
U.S. Figure Skating Home Club: |
______________________________________ |
Permission from Home Club (if not MIT): |
______________________________________ |
Address of Home Club Test Chair (if not MIT): |
______________________________________ |
U.S. Figure Skating Test Fees: |
$3 per test |
Judges Hospitality & Transportation: |
$10 if taking 1 test OR $15 if taking 2 or more tests |
Total: |
______________________________________ |
Please make check payable to MIT Figure
Skating Club |
______________________________________________________________________________________________________________
|
NOTE: By the terms of our ice usage agreement with MIT,
you must be a member of the MIT Figure Skating Club to test
at our sessions. See our webpage for more details.
http://mit.edu/skatingclub/www/membership.html
|