FREESKATE Phone 215-247-1759 X 28 Fax 215-247-9466

The Wissahickon Skating Club is a member of the United States Figure Skating Association SUMMER HERE PLACE STAMP About the USFS U.S. Figure Skating is the national governing body for the sport of figure skating in the United States as recognized by the United States Olympic Committee and the International Skating Union. The headquarters, along with the World Figure Skating Hall of Fame and Museum, is located in Colorado Springs, Colo. U.S. Figure Skating is comprised of more than 700 member clubs and 900 Basic Skills programs representing approximately 175,000 members. U.S. Figure Skating’s mission is to provide programs to encourage participation and achievement in the sport of figure skating. The organization is charged with the development of the sport WISSAHICKON on all levels within the United States including athletes, officials, sanctioning of events and exhibitions, and SKATING CLUB establishing the rules and guidelines by which the sport is governed. Learn To Skate Basic Skills Mail, Scan, or Fax Enrollment to: WISSAHICKON SKATING CLUB 550 W. Willow Grove Avenue Philadelphia, Pennsylvania 19118 FREESKATE phone 215-247-1759 x 28 fax 215-247-9466 [email protected] Wissahickon Skating Club 550 West Willow Grove Avenue, Philadelphia, Pa. 19118 REGISTRATION FORM U. S. Figure Skating Basic Skills Program 2017-18 Skater Name_____________________________________________ Free Skate Curriculum Skater Birthdate________________________________________ Advanced forward stroking, Basic FREESKATE 1 Each Free Skate level is divided into four forward outside & inside consecutive edges (4-6), Advanced back outside 3 turns clockwise & counterclock- sections: moves in the field, spins, dance/ Parents Names _________________________________________ wise, Scratch spin from back crossovers, Waltz jump footwork sequence, and jumps. The Free Skate from back crossovers, Half flip levels are designed to give skaters a strong Address___________________________________________________ FREESKATE 2 Basic back outside & back inside foundation on which to build their skills. This consecutive edges (4-6, Forward outside & inside spirals, is the point where the skater can choose to ____________________________________________________________ clockwise & counter clockwise (R & L), Continuous pursue a recreational or competitive approach forward progressive chasse sequence – clockwise & counterclockwise, waltz threes R &L, Beginning back spin, to the sport of figure skating. Email______________________________________________________ waltz jump-side toe hop-waltz jump sequence, Toe loop Phone_____________________________________________________ FREESKATE 3 F & B crossovers in figure 8 pattern, Waltz 8, Advanced forward consecutive swing rolls (4-6), Circle the LEVEL that you wish to enroll in Backward inside 3turn R & L, Backspin w free foot in crossed leg position, Salchow, Half Lutz jump, Waltz jump FREESKATE LEVEL: -toe loop combo or Salchow-toe loop combo PREFREE 1 2 3 4 5 6 FREESKATE 4 Spiral sequence: FI spiral, FI Mohawk, SIX Week Series $120.00 BO Spiral – clockwise & counterclockwise, Forward power 3 turns: R &L, Continuous backward progressive, chasse Please circle payment method: sequence on a circle – clockwise & counterclockwise, Sit Lesson Dates and Times: spin – 3 revolutions, Loop jump, Waltz jump-loop jump CHECK CREDIT CASH combination Tuesdays 7:00p - 8:15p FREESKATE 5 Backward outside 3 turn, Mohawk into Card #______________________________ Exp Date______ 3 back crossovers – repeat 3 times clockwise & counter- 7/17, 7/24, 7/31, clockwise, Spiral sequence – Forward outside spiral, Amount to Charge: ________________ Check #__________ forward outside 3turn, 1 backward crossover, back inside 8/7, 8/14, 8/21 spiral: clockwise & counterclockwise, Forward outside HOLD HARMLESS AGREEMENT: Having full slide chasse swing roll sequence – 3–6 times, alternating FEE INCLUDES USFS REGISTRATION knowledge of the nature of this activity and the hazards Classes May be Combined or Cancelled feet, Camel spin – 3 revolutions min, Forward upright spin involved, I hereby certify that I have personal medical If Low Enrollment to back scratch spin – 3 revolutions, each foot, Loop/loop insurance coverage for any “bodily injury” that may occur combo, Flip jump, Waltz jump-falling leaf-toe loop jump and assume full responsibility for all losses and injuries sequence sustained while involved in this activity as it relates to this FREESKATE 6 Alternating back crossovers to back CLASSES INCLUDE A 1/2 HOUR LESSON, facility. I also hold harmless the Wissahickon Skating outside edges, 5 step Mohawk sequence – clockwise & RENTAL SKATES, AND PRACTICE TIME Club, its insurers, their agents, coaching staff employees, counterclockwise, Camel-sit spin combo– 4 revolutions and any associates from any claim related thereto. total, Split or stag jump, Waltz jump-half loop-Salchow, SKATERS SHOULD DRESS WARMLY Lutz jump, Axel – walk through, preparation, jump PARENT/GUARDIAN SIGNATURE______________________________ Axel does not need to be landed to pass this test. PRINT NAME_______________________________________________ .

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