WINTER CLUB OF INDIANAPOLIS TEST APPLICATION Skater: ________________________________________ USFS Membership #: _________________________ E-mail: ________________________________________ Phone Number: ______________________________ Coach’s Signature: _______________________________ Home Club: _________________________________ Moves in the Field Free Skate Dance (price per dance) StandardMasters Adult Solo Pre-Preliminary $35 Pre-Preliminary $20 Preliminary $20 Per dance Preliminary $40 Preliminary $30 Dutch Waltz Canasta Tango Rhythm Blues Pre-Juvenile $45 Pre-Juvenile $35 Pre-Bronze $25 Per dance Juvenile $50 Juvenile $40 Cha Cha Fiesta Tango Swing Dance Intermediate $55 Intermediate $45 Bronze $30 Per dance Novice $60 Novice $50 Hickory Hoedown Willow Waltz Tenfox Junior $65 Junior $55 Pre-Silver $35 Per dance Senior $70 Senior $60 14 Step Foxtrot European Waltz Silver $40 Per dance Adult Moves in the Adult Free Skate Field Rocker Foxtrot Tango American Waltz Pre-Bronze $30 Pre-Bronze $20 Bronze $40 Bronze $25 Pre-Gold $45 Per dance Silver $45 Silver $30 Kilian Blues Paso Doble Starlight Waltz Gold $50 Gold $35 Gold $50 Per dance Pairs Test (per partner) Free Dance(per Argentine TangoQuickstepVienneseWaltzWestminsterWaltz partner) Preliminary $20 Juvenile $30 International $50 Per dance Juvenile $20 Intermediate $35 Intermediate $25 Novice $40 Rhumba Midnight Blues Tango Romantica Cha ChaCongelado Silver Samba Ravensburger Waltz Novice $30 Junior $45 Golden Waltz Finnstep Yankee Polka Junior $40 Senior $50 Senior $45 Skaters who are not part of Winter Club of Indianapolis or an Indiana Council Member Club, Total Fees must pay a $25 guest fee. All skaters must pay an $10 hospitality fee. Refunds will not be given Hospitality $ 10.00 7 days prior to the test except due to injury, illness, or extraordinary family emergency. MIF Fees $ Applications and payment are due 2 weeks prior to test date. FS Fees $ Dance Fees $ All tests subject to availability and expenses related to judges. Pairs Fees $ Please complete and give to Test Chair or mail to: Andrea Yovanovich 9779 Briarway Lane, McCordsville, IN 46055. Guest Fees $ Total Testing $
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