OVAL Tryout Registration

Oval tryout Submission form 2022-2023

* Indicates required field

Skater Name *

First

Last

Skater Email *

Skater USFSA/LTS USA Number *

Skater age as of July 1, 2022 *

Skater Birthdate *

Skater Address *

Line 1

Line 2

City

State

Zip Code

Country

Parent/Guardian Name *

First

Last

Parent/Guardian Email *

Parent/Guardian Name 2 *

First

Last

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 *

Highest Dance Level PASSED *

Highest Freestyle Level PASSED *

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 [email protected] 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 2022 Release Form located below. Your signature also acknowledges that you understand Covid-19 exposure is still possible, and that you will not hold coaches/staff liable in the case that you/your skater is exposed. *

Any comments, questions, or concerns? *

Submit

tryout_release.pdf
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File Type:	pdf

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