Peninsula Skating Club
Moves - Freeskating - Pair Test Application
Applicant's Name: ______________________________ Phone: _______________________________
Address ______________________________ City _______________________ Zip
_______________
E-mail address _________________________
USFSA # ____________________ Home Club: _______________________
Test Date: __________
Rink Requested: (check one) San Jose _______
Belmont _____ Fremont ________
Applicant's Signature _____________________________________________________
Pro's Name _____________________________
Signature _____________________________
PLEASE CIRCLE TEST TO BE TAKEN!
MOVES IN THE FIELD |
FREE SKATING |
PAIRS |
|||
| Pre-preliminary | $25 | Pre-preliminary | $25 | Preliminary | $25 |
| Preliminary | $30 | Preliminary | $25 | Juvenile | $35 |
| Pre-juvenile | $40 | Pre-juvenile | $35 | Intermediate | $40 |
| Juvenile | $40 | Juvenile | $35 | Novice | $45 |
| Intermediate | $45 | Intermediate | $40 | Junior | $50 |
| Novice | $50 | Novice | $45 | Senior | $55 |
| Junior | $50 | Junior | $50 | ||
| Senior | $55 | Senior | $55 | ||
ADULT FREE SKATING |
|||||||
| Pre-Bronze | $30 | Bronze | $35 | Silver | $40 | Gold | $45 |
| ADULT MOVES IN THE FIELD | |||||||
| Pre-Bronze | $30 | Bronze | $35 | Silver | $40 | Gold | $45 |
NON-HOME CLUB FEE: $25 PER SESSION
NOTE: TESTS CANCELED BY THE SKATER LESS THAN 2 WEEKS PRIOR TO THE TEST DATE WILL REQUIRE A NEW APPLICATION AND A NEW CHECK IN ORDER TO BE RESCHEDULED.
Applications must be received by the Test Chairman no later than 3 weeks prior to the test date.
Mail applications for San Jose tests
to: Deirdre Fujimoto
60 Sugar Hill Drive
Hillsborough, CA 94010
Mail applications for Fremont tests to:
Patt Martin
1814 Kern Loop
Fremont, CA 94539