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Creative Ice Theatre in 2018-19 Season
2018-2019 CREATIVE ICE THEATRE SEASON REGISTRATION FORM
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Choose Audition Date
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Joining during Season: Preliminary- Senior
Joining During Season Adult Skater
Returning CIT Member
Skater Name
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First
Last
Skater Date of Birth
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SKATER USFS #
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Skater Height
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Home Address
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Line 1
Line 2
City
State
Zip Code
Country
Parent Name
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Select One
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Mother
Father
Skater
Parent primary Email email unless Adult
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Parent primary Phone number unless Adult
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Parent #2 Name
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Email #2
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Select One
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Father
Mother
Skater
Parent Phone Number #2
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Skater Home Club
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Skater Primary Rink
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Current Membership
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USFSA
Basic Skills
NONE
Highest USFSA FS Test Passed
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Basic Skills
Pre-Preliminary
Preliminary
Pre-Juvenile
Juvenile
Intermediate
Novice
Junior
Senior
ADULT Pre-Bronze
ADULT Bronze
ADULT Silver
ADULT Gold
MASTERS Pre-Bronze
MASTERS Bronze
MASTERS Silver
MASTERS Gold
None
Highest USFSA MIF Test Passed
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Basic Skills
Pre-Preliminary
Preliminary
Pre-Juvenile
Juvenile
Intermediate
Novice
Junior
Senior
ADULT Pre-Bronze
ADULT Bronze
ADULT Silver
None
Highest USFSA Dance Test Passed
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Preliminary
Pre-Bronze
Bronze
Pre-Silver
Silver
Pre-Gold
Gold
None
Primary Coach Name
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Primary Coach Email
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Primary Coach Cell Phone Number
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Comment
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