(Eff. 9/27/03)
                       The Skating Club of Wilmington, Inc.

                              This Page can be printed out, filled in, and sent to the Club as a test Application. 
                              Fill in all the required entries, get all the required signatures, and send it to the Club 
                              with your remittance.

  FIGURE, FIELD MOVES, FREE SKATING, PAIR
TEST APPLICATION

For Office Use: Date Rec'd ______
$ _____________Check # ______
Approved __________

Candidate's Name _________________________________________ USFSA Number __________________

Address _________________________________________________ Telephone No. ___________________

E-mail Address ___________________________________________ Fax No. _________________________

Name of Club through which you are registered with USFSA _______________________________________
A tester not registered with the USFSA through SCW must submit a permission-to-test letter from his/her Home 
Club.

SCW affiliation - Please check one.
                                                             None _____   Representational _____

SCW Member: (Low/Standard use) ____   SCW Member: (Light Use/Tickets) ____   SCW Member: Basic only ____
___________________________________________________________________________________________________

Figure Field Moves Free Skating Pair
___ Pre. $20    ___ Pre-Pre. $18    ___ Pre-Pre. $12      ___ Pre. $12 (1st candidate)   $6 (2nd candidate)
___ 1 $30 ___ Pre. $22 ___ Pre. $16 ___ Juv. $18 (1st candidate)   $9 (2nd candidate)
___ 2 $35 ___ Pre-Juv. $25 ___ Pre-Juv. $18 ___ Int. $24 (1st candidate) $12 (2nd candidate)
___ 3 $40 ___ Juv. $25 ___ Juv. $18 ___ Nov. $30 (1st candidate) $15 (2nd candidate)
___ 4 $45 ___ Int. $30 ___ Int. $24 ___ Jr. $40 (1st candidate) $20 (2nd candidate)
___ 5 $50* ___ Nov. $30 ___ Nov. $28 ___ Sr. $50 (1st candidate) $25 (2nd candidate)
___ 6 $60* ___ Jr. $40 ___ Jr. $35
___ 7 $70* ___ Sr. $50 ___ Sr. $45
___ 8 $80*
                         * For fee for A and B Figure Half-Tests, subtract $15.
____________________________________________________________________________________________________
Adult Figure Adult Moves Adult Free Skating Adult Pair
___ Bronze $25     ___ Pre Bronze $20     ___ Pre Bronze $15     ___ Bronze $18 (1st candidate)   $9 (2nd candidate)
___ Silver $35 ___ Bronze $25 ___ Bronze $20 ___ Silver $24 (1st candidate) $12 (2nd candidate)
___ Gold $50 ___ Silver $30 ___ Silver $25 ___ Gold $30 (1st candidate) $15 (2nd candidate)
___ Gold $35 ___ Gold $30
___________________________________________________________________________________________________
FEES IN ADDITION TO REGULAR TEST FEES

Late Application Fee for All Skaters: $20. SCW Low/Standard Use members and SCW Coaches pay no extra Ice Fee. 
SCW Light Use, Ticket & Basic
members must pay a $20 per session Ice Fee . All other testers must pay a $40 per 
session
Ice Fee.
Pair Partner's Name _____________________________________ Home Club __________________________________
___________________________________________________________________________________________________

ALL APPLICATIONS MUST BE SIGNED BY THE APPLICANT'S COACH, and, in the case of a child under 12, by parent 
or guardian, also.

Coach's Signature ___________________________ Coach's E-mail ________________ Coach's Phone _____________

Parent's or Guardian's Signature (only if Tester is under age 12) _____________________________________________
___________________________________________________________________________________________________
Please make checks payable to "The Skating Club of Wilmington, Inc." Mailing address: 1301 Carruthers Lane, 
Wilmington, DE  19803. In order for tests to be scheduled, both the application and the fees must be received by the office  
no later than the posted Test Deadline date. Applications submitted without fees will not be scheduled.
Skaters may cancel 
tests but fees are not refundable. Please write any special circumstances or requests on the bottom of this form.
___________________________________________________________________________________________________

          Questions, comments, or problems? Contact:  Webmaster
_____________________________________________________________________________

Updated 9/27/03