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Cottonwood Heights Intro Team Training Session
Information & Registration
Cottonwood Heights Intro Team Registration form 2021-2022
*
Indicates required field
Skater Name
*
First
Last
Skater Email
*
Skater USFSA/LTS USA Number - put "NA" if you don't have one
*
Skater age as of July 1, 2021
*
Skater Birthdate
*
Skater Address
*
Line 1
Line 2
City
State
Zip Code
Country
Parent/Guardian Name
*
First
Last
[object Object]
Parent/Guardian Email
*
Parent/Guardian Name 2
*
First
Last
[object Object]
Parent/Guardian Email 2
*
Skater Phone Number (text reminders)
*
Parent Phone Number (text reminders)
*
Parent 2 Phone Number (text reminders)
*
Highest Moves in the Field PASSED - Select "None" if your skater hasn't tested
*
None
Pre Preliminary
Preliminary
Pre Juvenile
Juvenile
Intermediate
Novice
Junior
Senior
Adult Pre Bronze
Adult Bronze
Adult Silver
Adult Gold
Highest Dance Level PASSED - Select "None" if your skater hasn't tested
*
None
Preliminary
Pre Bronze
Bronze
Pre Silver
Silver
Pre Gold
Gold
Highest Freestyle Level PASSED - Select "None" if your skater hasn't tested
*
None
Pre Preliminary
Preliminary
Pre Juvenile
Juvenile
Intermediate
Novice
Junior
Senior
Adult Pre Bronze
Adult Bronze
Adult Silver
Adult Gold
Adult Intermediate
Adult Novice
Adult Junior
Adult Senior
Skater Basic Skills Level - Select "Not Applicable" if your skater is past basic skills
*
Not Applicable
Basic 3
Basic 4
Basic 5
Basic 6
Pre Freeskate
Freeskate 1
Freeskate 2
Freeskate 3
Freeskate 4
Freeskate 5
Freeskate 6
Primary Coach's Name
*
First
Last
Primary Coach's Email
*
Primary Coach's Phone Number
*
In case of emergency who should we contact?
*
First
Last
Their Phone Number
*
Payments will need to be made via contactless option. Contact starlitblades@gmail.com directly if you have any questions.
*
Venmo payment to @EllieNielsen17
Credit card using Square (3% service fee. Email invoice will be sent within 1 week for you to pay online)
Please sign name below acknowledging that you have read and agree to the terms of the 2021 Release Form located below. Your signature also acknowledges that you understand coaches/staff are taking precautions to avoid exposure of skaters to Covid-19, and that you will not hold coaches/staff liable in the case that you/your skater is exposed to Covid-19.
*
Any comments, questions, or concerns?
*
Submit
tryout_release.pdf
File Size:
103 kb
File Type:
pdf
Download File
2022_beginner_training_-_.5_page.pdf
File Size:
358 kb
File Type:
pdf
Download File