Denver FSC - Colorado SC Test Application

South Suburban Ice Arena

Denver FSC - Colorado SC Test Application

Test DateClub HostUSFS #

Skater’s NameE-Mail

AddressPhone #

Home Club______

Coach’s NamePhone #

Coach’s SignatureE-Mail

Skater’s or Parent’s Signature if Skater is under 18. Your signature signifies your agreement to the terms on the back side of this form.

TEST REQUIRED/FEES

Singles
Level / MIF / FreeSkate
Pre-Preliminary / ( ) $47 / ( ) $28
Preliminary / ( ) $47 / ( ) $28
Pre-Juvenile / ( ) $50 / ( ) $30
Juvenile / ( ) $50 / ( ) $30
Intermediate * / ( ) $55 / ( ) $30
Int. Supplemental * / ( ) $55
Novice * / ( ) $60 / ( ) $35
Junior * / ( ) $60 / ( ) $35
Senior * / ( ) $60 / ( ) $35
Sen. Supplemental* / ( ) $60
Adult Pre-Bronze / ( ) $47 / ( ) $28
Adult Bronze * / ( ) $50 / ( ) $30
Adult Silver * / ( ) $50 / ( ) $30
Adult Gold * / ( ) $55 / ( ) $35
* Please indicate MIF category:
( ) Standard ( ) Adult ( ) Masters
Compulsory Dance
Please indicate category: ( ) Standard w/ Solo ( ) Standard no Solo ( ) Adult ( ) Masters ( ) Solo
Preliminary / Pre-Bronze / Bronze
Dutch Waltz / ( ) $30 / Swing Dance / ( ) $30 / Hickory Hoedown / ( ) $30
Canasta Tango / ( ) $30 / Cha-Cha / ( ) $30 / Willow Waltz / ( ) $30
Rhythm Blues / ( ) $30 / Fiesta Tango / ( ) $30 / Ten-Fox / ( ) $30
Pre-Silver / Silver / Pre-Gold
Fourteenstep / ( ) $35 / American Waltz / ( ) $35 / Kilian / ( ) $35
European Waltz / ( ) $35 / Tango / ( ) $35 / Blues / ( ) $35
Foxtrot / ( ) $35 / Rocker Foxtrot / ( ) $35 / Paso Doble / ( ) $35
Starlight Waltz / ( ) $35
Gold / International
Viennese Waltz / ( ) $35 / Austrian Waltz / ( ) $40 / Rhumba / ( ) $40
Westminster Waltz / ( ) $35 / Cha Cha Congelado / ( ) $40 / Silver Samba / ( ) $40
Quickstep / ( ) $35 / Golden Waltz / ( ) $40 / Tango Romantica / ( ) $40
Argentine Tango / ( ) $35 / Midnight Blues / ( ) $40 / Yankee Polka / ( ) $40
Ravensburger Waltz / ( ) $40 / Finnstep / ( ) $40
Will this complete a test level? ( ) Yes ( ) No
Partner: / USFS #:
Free Dance
Please indicate category: ( ) Partnered ( ) Solo
Juvenile / ( ) $30 / Adult/Masters Pre-Bronze / ( ) $30
Intermediate / ( ) $30 / Adult/Masters Bronze / ( ) $30
Novice / ( ) $30 / Adult/Masters Silver / ( ) $35
Junior / ( ) $35 / Adult/Masters Gold / ( ) $35
Senior / ( ) $35
Partner: / USFS#:
Pairs (Per Candidate)
Level / FreeSkate
Pre-Juvenile / ( ) $30
Juvenile / ( ) $30
Intermediate / ( ) $30
Novice / ( ) $35
Junior / ( ) $35
Senior / ( ) $35
Adult Bronze / ( ) $30
Adult Silver / ( ) $30
Adult Gold / ( ) $35
Partner:
USFS #:

TEST FEES$

HOSPITALITY FEE$5.00(Required by all skaters)

NON-CLUB FEE$($20.00 unless a full or Associate member of DFSC or CSC)

LATE FEE$($25.00 After Due Date and w/ Test Chair Approval)

TOTAL DUE$(Enclose check payable to the Club - DFSC or CSC)

For Test Chair Use Only

Date Received: / Check # / Amt. Pd. / Amt. Due: / Credit Due:

MAIL this Application (DO NOT PUT IN SKATING CLUB BOXES) to Test Chair of Club hosting the session.

Mail to Test Chair hosting the session you need. Please see schedule below for hosting clubs and dates.

Robyn RuetzorCourtney Benham

Denver Figure Skating Club Test ChairColorado Skating Club Test Chair

8390 Russet Ln4091 Eagle Tail Lane

Highlands Ranch, CO 80126Castle Rock, CO 80104

505-301-5217303-955-2927

Notify the skating club that is hosting the test at least one month in advance if you are planning to test a Junior, Senior, or Dance Test.

TEST DATE / CUT-OFF DATE / HOST Club / Mail FORM TO
January 9, 2015 / December 26, 2014 / Colorado Skating Club / Courtney Benham
February 6, 2015 / January 23, 2015 / Denver Figure Skating Club / Robyn Ruetz
March 6, 2015 / February 20, 2015 / Colorado Skating Club / Courtney Benham
April 10, 2015 / March 27, 2015 / Denver Figure Skating Club / Robyn Ruetz
May 8, 2015 / April 24, 2015 / Colorado Skating Club / Courtney Benham
June 13, 2015 / May 30, 2015 / Denver Figure Skating Club / Robyn Ruetz
July 18 2015 / July4, 2015 / Colorado Skating Club / Courtney Benham
August7, 2015 / July 24, 2015 / Denver Figure Skating Club / Robyn Ruetz
September 4, 2015 / August 21, 2015 / Colorado Skating Club / Courtney Benham
October 9, 2015 / September 25, 2015 / Denver Figure Skating Club / Robyn Ruetz
November 6, 2015 / October 23, 2015 / Colorado Skating Club / Courtney Benham
December 4, 2015 / November 20, 2015 / Denver Figure Skating Club / Robyn Ruetz

Test Form MUST BE RECEIVEDby the HOSTING TEST CHAIR 14 DAYS PRIOR to test date, NOT POSTMARKED by the due date. FORMS ARE TO BE MAILED to the HOSTING TEST CHAIRby First Class Mail ONLY. Forms delivered by other means will not be accepted. DO NOT put forms in the club boxes at the rink and DO NOT drop them off at the test chair’s home. The form MUST be filled out completely, including all feeswith permission to test (if necessary).

Please be at the rink a minimum of 45 minutes before your scheduled test time and be prepared to test at any time. Cancelled tests can cause the test session to run ahead of schedule. Not being ready for your test when called upon or an inconvenient test time is not grounds for a refund. Refunds are only issued if the test chair can not schedule the test, not if a test application is withdrawn.

Each test has up to a 10 minute warm-up prior to the test. This warm up time is included in the test fee. If you choose to warm up for more than 10 minutes, you will need to pay for a FS session or public ice session at the front desk before stepping on the ice.

The test chair reserves the right to cancel tests due to lack of appropriate judges.

All skaters taking test(s) are required to pay the hospitality fee of $5.00 Any skater whose Home Club is NOT Denver Figure Skating Club or Colorado Skating Club must pay the non-club fee of $20.00.

Tests submitted after the 14-day cut-off are required to pay a $25.00 late fee. All late entries are subject to availability of time and judges.

If a skater does not pass a Field Moves Test and is scheduled to test the same level for FreeSkate at the same session, FreeSkate test fee will not be refunded.

Updated 10/7/2018