Non-member Test Registration

IceWorks Skating Club

IN PERSON - Test Session - Weds., February 12, 2025

Please be sure to register test credit protocols in the protocol registration session only.

Step 1

Please complete these fields:

Last Name: *	Date of birth: *
First Name: *	USFS#
Address: *	Phone: *
City: *	Alt Phone:
State: *	Your email: *
ZIP / Postal code: *	Dance Partner:
	Pairs Partner:

	To specify your home club, begin typing its name in the box below, then click it when it appears in the auto-suggestion box:
* Your Home Club:

Step 2

Step 3

Enter your coach(es)
Select your tests first, then complete this section

Please enter your Singles (FS) coach

	Begin typing your coach's name in this field, then click it when it appears in the auto-suggestion box:
Your Coach:
	OR, if you can't find your coach using the field above:
Coach's Name:	*
Coach's Email:	*
Coach's Phone #:	*
Coach's USFS #:

Please enter your Dance Coach

	Begin typing your Dance coach's name in this field, then click it when it appears in the auto-suggestion box:
Your Coach:
	OR, if you can't find your coach using the field above:
Coach's Name:	*
Coach's Email:	*
Coach's Phone #:	*
Coach's USFS #:

Please enter your Pairs Coach

	Begin typing your Pairs coach's name in this field, then click it when it appears in the auto-suggestion box:
Your Coach:
	OR, if you can't find your coach using the field above:
Coach's Name:	*
Coach's Email:	*
Coach's Phone #:	*
Coach's USFS #:

Please enter your Skating Skills / Moves Coach

	Begin typing your coach's name in this field, then click it when it appears in the auto-suggestion box:
Your Coach:
	OR, if you can't find your coach using the field above:
Coach's Name:	*
Coach's Email:	*
Coach's Phone #:	*
Coach's USFS #:

Step 4

Review your charges:

Step 5

Complete payment:

Credit Card Information

Please enter your credit card information below:

Your credit card information will be discarded after checkout.

Full Name (as on card):
Card info:
Billing ZIP/Postal

By clicking the button below, I authorize IceWorks Skating Club to charge my account today, Jan 14, 2025, the amount of $0.00 for the above listed item(s).

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