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Synchronized Skating Interest Form
Please complete this form if you are interested in skating on a synchronized skating team at EPIC. Skaters must be in Basic 5 or higher by August 2025 to participate on the 2025/2026 teams. If you have questions email fortcollinsfirecrystals@gmail.com or Pam Kurtz (970)396-1335 at
pkurtz2006@hotmail.com. More information can be found on the Fire Crystals Facebook Page and on the Fort Collins Figure Skating Club Website
https://fortcollinsfsc.org
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* Indicates required question
Skater Name
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Your answer
USFSA#. (If you do not have a USFSA # then please write N/A. You will need to join the Fort Collins Figure Skating Club to participate in Synchronized Skating and will be given a USFSA # at that time)
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Your answer
Parent Names
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Your answer
Street Address
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Your answer
City
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Your answer
State
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Your answer
Zip
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Your answer
Parent Emails
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Your answer
Skater Email
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Your answer
Home Phone
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Your answer
Parent Cell
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Your answer
Skater Cell
Your answer
Other Phone Number
Your answer
Age as of July 1 2025
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Your answer
Birthdate
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MM
/
DD
/
YYYY
Learn to Skate Level
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Your answer
Free Skate Testing Level (Write N/A if you are not tested)
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Your answer
Moves in the Field Testing Level (Write N/A if you are not tested
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Your answer
Ice Dance Testing Level (Write N/A if you are not tested)
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Your answer
Previous Synchronized skating experience? If so team and level.
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Your answer
Are you a member of the Fort Collin Figure Skating Club?
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Yes
No but willing to join
No but not willing to join
How did you learn about the Fire Crystals and Synchronized Skating?
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Your answer
Do you have any questions
Your answer
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