Ice Skating Queensland Inc.

Member of Ice Skating Australia Incorporated

State Headquarters

Administration Office: P.O. Box 82 Archerfield Q 4108

Phone: (07) 3277 7563 Fax: (07) 3036 4619

Website: Email:

ISA TEST APPLICATION– Singles & Pairs

Please check Test Dates (Close of applications is 10 days prior to the test date)

Please note: You must be a member of a State Association before you can undertake an ISA Test.

Ice Skating Queensland Members must also be a member of an Affiliated Clubbefore you can undertake an ISA Test.

Name in full ……………………………………………..………ISQ Membership No ………Club…………….… Membership No: …….….

Phone No. ………………………..…………Email: ……………………………………………………D.O.B.……………..…Age ……………..

Endorsement by coach: I am satisfied that this applicant has attained the level of proficiency required for this test. (Must be completed)

Coach’sName (please print) ……………………………....….. Coach’s Signature ………………..…………………….. Date …..../…...../…......

Please submit your Test Application to the ISQ Administration Office by the closing date which is 10 days prior to the Test Date.

I hereby apply to be tested at ……………….……….(rink) in accordance with the rules of the ISA for the following test on ……….…….. ..(date)

Please tick below which test you wish to take.(Please check ISQ website for Test Dates

FREESKATE TESTS / PAIR SKATING TESTS
Preliminary Test / You must have passed the Preliminary Test to attempt the Primary Pair Test
Basic Novice Pair
Advanced Novice Pair
Junior Pair
Senior Pair

FEES

PRELIMINARY TEST$30.00
ALL OTHER TESTS$35.00
Payment is by Credit Card or Paypal – refer
Usual Session Entry Prices apply for Testing Sessions at Iceworld Acacia Ridge and Iceworld Boondall.
If you are doing your test at another rink (eg Gold Coast) please check with that rink for their test session ice fees.
Free Skating Tests
Elementary Technical Free Skate
Basic Novice A Technical Free Skate
Basic Novice B Technical Free Skate 
Advanced Novice Technical Free Skate
Junior Technical Free Skate
Senior Technical Free Skate
Pattern Skills Tests
Elementary Technical Pattern Skills
Basic Novice A Technical Pattern Skills
Basic Novice B Technical Pattern Skills
Advanced Novice Technical Pattern Skills
Junior Technical Pattern Skills
Senior Technical Pattern Skills

I am a financial member of Ice Skating Queensland Inc. and an Affiliated Club.

Signature ………………………………………….….Date ….../……./……….

PayPal payment is available at You must still complete and submit this test application.
Credit Card Payments / Card No / ………………………………………..…….. / Expiry Date…./…. / $......
 VISA  MasterCard / Name on Card:

(Form Updated 16/5/2017

Ice Rinks

Iceworld Acacia Ridge:1179 Beaudesert Road Acacia Ridge 4110 Phone: (07) 3277 7563 Fax (07) 3036 4619

Iceworld Boondall: 2304 Sandgate Road Boondall 4034 Phone: (07) 3865 1694 Fax (07) 3865 1538

Financially assisted by the Queensland Government

to get more Queenslanders active through sport and recreation