Braemar Panache Registration Form

Braemar City of Lakes FSC & FSC of Minneapolis are pleased to announce our 2016 - 2017 season!

We are excited to announce our 2016 - 2017 auditions for our synchronized team co-op between the Braemar and Minneapolis synchronized skating teams. Our organization provides a very unique opportunity to create

strong and competitive teams for a variety of levels!

Join us for synchro team "try it" workshop and placement day.

Coaching Staff: Carrie Drzewiecki, Rosie Hanson, Janet Hoitomt, Jerre LeTourneau

Open to skaters of all ages and levels interested in pursuing synchronized team skating.

"Skating is fun for everyone!"

TRY IT WORKSHOP AND PLACEMENT DAY ~ APRIL 24th AND MAY 7th

BASIC SKILLS THRU PRE JUVENILE MOVES IN THE FIELD

FOR ALL SKATERS WISHING TO PARTICIPATE ON A

BASIC SKILLS / PRELIMINARY / PRE JUVENILE / JUVENILE TEAM

Try it Workshop: Sunday, April 24th - Braemar Arena East Rink (event completed)

Placement Day: Saturday, May 7th @ 11:00 to 11:45 am - Augsburg Arena Rink A

PASSED PRE JUVENILE THRU SENIOR MOVES IN THE FIELD

FOR ALL SKATERS WISHING TO PARTICIPATE ON AN

OPEN JUVENILE / INTERMEDIATE / NOVICE TEAM

Try it Workshop: Sunday, April 24th - Braemar Arena East Rink (event completed)

Placement Day: Saturday, May 7th @ 12:00 to 1:00 Pm - Augsburg Arena Rink A

Parking permits are not required in the Augsburg Parking lots on weekends!

COMPLETE EACH SECTION FOR TEAM PLACEMENT

Mark the team level below that you will be attending. *

Basic Skills/Preliminary/Pre Juvenile/Juvenile level - test requirements Basic Skills thru Pre Juvenile Moves in the Field ~ $30 for both sessions

Basic Skills/Preliminary/Pre Juvenile/Juvenile level - test requirements Basic Skills thru Pre Juvenile Moves in the Field ~ $15 for May 7th session

Open Juvenile/Intermediate/Novice Team - passed Pre Juvenile thru Senior Moves in the Field ~ $30 for both sessions

Open Juvenile/Intermediate/Novice Team - passed Pre Juvenile thru Senior Moves in the Field ~ $15 for May 7th session

Mark the sessions below that you will be attending. We expect skaters to attend both sessions. *

Sunday, April 24th - Braemar Arena East Rink

Saturday, May 7th - Augsburg Ice Arena Rink A (Permits not required Saturday in Augsburg parking lots)

I am interested in participating. Due to family commitments I will be unable to attend.

Please contact me to set up a time to have assessment

SKATER INFORMATION

Skater's first name *

Skater's last name *

Address *

City *

State *

Zip *

Date of Birth (MM/DD/YYYY): *

U.S. Figure Skating Home Club *

Skater's phone (optional)

Skater's email (optional)

Parent/Guardian's name(s): *

Parent/Guardian's phone (number that will be answered most frequently): *

Preferred e-mail address: (All communication will be sent to this e-mail) *

Secondary e-mail address: (optional for phone, work, another parent, etc.)

TESTING ACCOMPLISHMENTS AND PREVIOUS TEAM EXPERIENCE

Highest test level passed as of April 24, 2016:

*

Freestyle

*

Moves in the Field

*

Ice Dance

*

ISI Testing

Most recent synchro experience: *

Year:

Most recent synchro experience: *

Team Level:

WAIVER AND RELEASE

RELEASE - Check this box to confirm that an adult age 18 or above has read and acknowledge release below: *

I hereby waive and hold harmless Braemar City of Lakes FSC, Braemar Arena, FSC of Minneapolis, and Augsburg College from all acts, injuries, losses or claims, and all damage or any causes of action that arise on these premises which are not due to willful misconduct or negligence on the part of Braemar City of Lakes FSC, Braemar Arena, FSC of Minneapolis, and Augsburg College and I relinquish all rights, titles and interest in photographs taken by the Braemar City of Lakes FSC and FSC of Minneapolis for promotional and programming materials, including Club Websites.

We take the health and safety of our skaters very seriously. In the event of a medical emergency involving your skater:
- 911 will be called for any life-threatening accident, injury or illness.
- Parents will be called for non-life threatening emergencies needing immediate attention. *

Check this box to confirm that an adult age 18 or above has read the emergency medical procedure above.

Check this box to confirm that an adult age 18 or above has submitted this form: *

Yes, I am over 18 years old