Kansas City FSC Test Application for Dance tests.

Please provide the following information and submit to apply for testing at an upcoming KCFSC test session. Once you have submitted your application through this form, you will receive a confirmation e-mail from the test chair with the amount due. The fees will need to be mail to and receive by the test chair for the test to be scheduled. If you have questions, please contact Lee Gardner at leegardner1@mac.com. Thanks and good luck with your test!!

Skater Information:

* Skater's Name

* Skater's USFSA number:

* Skater's Home Club:

* Skater's Address:

* City, State & Zip

* Phone

* Confirmation e-mail address:

* Coach's Name:

Test(s) Requested:

* Date of Test Session:

Information for 1st compulsory dance selected:

* First Compulsory Dance:

* Please Select test track:

* Name of 1st compulsory dance partner (None if Solo Dance):

Information for 2nd compulsory dance selected:

* Second Compulsory Dance:

* Please Select test track:

* Name of 2nd compulsory dance partner (None if Solo Dance):

Information for 3rd compulsory dance selected:

* Third Compulsory Dance:

* Please Select test track:

* Name of 3rd compulsory dance partner (None if Solo Dance):

Information for Freedance selected:

* Freedance Test requested:

* Freedance Test Partner

* Please indicate your current Home Club. This information will be used to calculate non-home Club/ non-reciprocal fees that apply.

* Do you currently contract KCFSC Club Ice?

I do contract KCFSC Club Ice

Non-Contract KCFSC Club Ice Skater

A 20 minute warm-up session can be reserved in advance with your application for $5. If you wait and purchase warm-up ice at the test session, the walk-on rate is $10.

* Do you want to purchase a 15 minute warm-up session in advance?

Purchase Warm-up Session in advance

Decline purchase of warm-up in advance

Acceptance of Rules and Terms

By clicking the "Acceptance of Rules and Terms" button, the Skater and/or Parent/Guardian agrees to hold harmless US Figure Skating, Kansas City FSC, Ice Sports Kansas City and their employees and/or agents from any loss, damage, and/or injury that may be sustained by the testing skater in any manner while participating in any of the activities of said test session. It is also understood that there are no refunds of any kind once the application deadline set by the KCFSC test chair for a given test session. This includes failure to pass a prerequisite test session preventing a subsequent test from being taken later in that test session.

* Acceptance of Rules and Terms

I accept the Rules and Terms as stated above.

* Indicates Response Required