~Private Lesson Request Form~ The Director of Please fill out the following information and return to the pro shop or the skating directors Pelham Skate School office or Email Craig Henderson at Craig Henderson $36 /30 min Coaching Staff Email [email protected] Member of the Birmingham

Please allow up to 48 hours to be contacted. Professional Skater’s Association Member since 1988

PSA Level IV Ranking Name:______PSA Registered Freestyle Staff Coaches PSA Registered Program Director Teaching Credentials PSA ~ CER ~ Category A Student Name:______USFS Gold Medalist Figure & Freestyle

4-time U.S. International Team Member

Skating Level:______International Skating Champion U.S. National Silver Medalist

2-Time U.S. National Figure Champion Age:______7-Time National Competitor

4-Time Olympic Festival Competitor

Phone:______Coach of National & Jr. National Medalist Over 27 years of skating experience 500 Amphitheater Road

Specializes in competitive Pelham, Alabama 35124 Best Day for lesson:______Jumps, Spins, Video Analysis &

off ice training

Preferred Coach:______Tel: 205-620-6448 Priscilla Fowler $27 / 30 min Eric Mumper $35 / 30 min Professional Skater’s Association Member since 1990 PSA Master Rated in Freestyle Meet Our Coaching Staff Birmingham FSC member since 1976 PSA Level IV Ranking USFS Gold Medalist in Figures PSA Member ~ CER Certified ~ Category A USFS Gold Medalist in Dance USFS Jr. National, National & USFS Junior Freestyle International Coach Maria Adcock $27 / 30 min USFS Bronze Pair Soloist in Disney on Ice for 9 years USFS Gold Medalist in Freestyle Currently Assistant Professor Group and Private Lesson Instructor USFS Gold UAB Department of Ophthalmology Birmingham, AL USFS Gold Dance Test Heather Mumper $35 / 30 min USFS Intermediate Pair Test Kim Harris $21 / 30 min PSA Senior Rated in Freestyle PSA Certified Moves in the Field PSA Member ~ CER Certified ~ Category A PSA Level 1V Ranking PSA Registered Freestyle USFS Adult Gold Moves in the Field PSA Member ~ CER Certified ~ Category A PSA Registered Group USFS Adult Gold Freeskate Test Choreographed for Regional, USFS Regional, Jr National & Member of Birmingham FSC Jr National, National & Collegiate Skaters Member of Birmingham FSC Active Adult Competitor Group and Private Lesson Instructor Collegiate National Competitor Group and Private Lesson Instructor Group and Private Lesson Instructor Emily Sanders $20 / 30 min

Lisa Henderson $30 / 30 min PSA Member ~ CER Certified ~ Category B Michelle Badgley $25 / 30 min PSA Member ~ CER Certified ~ Category A USFS Intermediate Moves in the Field USFS Junior Moves in the Field Over 20 years of skating experience USFS Intermediate Freestyle Test USFS Juvenile Freestyle Test USFS Gold medalist in Freestyle USFS Novice Competitor PSA Registered Moves in the Field USFS Intermediate Figure test Dance Experience PSA Registered Synchro Soloist in Professional Ice shows Group and Private Lesson Instructor Synchronized Canadian National Team around the world for 9 years Group, Private Lesson & Synchro Instructor Physical Therapist Assistant Emily Spradling $20 / 30 min Group and Private lesson Instructor 11 Years Skating Experience Ashley Deavers $27 / 30 min ~PSA Member ~ CER Certified ~ Category B USFS Gold Medalist in Freestyle Kristen Hipolito $27 / 30 min USFS Novice Moves in the Field USFS Gold Moves in the Field USFS Gold medalist in Pairs USFS Pre-Juvenile Freeskate test USFS Gold Dance Test USFS Junior Freestyle Test Member Birmingham FSC USFS Juvenile Pair Test USFS Gold Pair Test Dance Experience (10 Years) 9-Time US National Championship Competitor Disney on Ice 1988-91 Graduated Spain Park High School (2015) Samford University (Current) Group, Private Lesson & Hockey Instructor PSA Registered Moves in the Field PSA Registered Freestyle Specializes in basic skills and single skating Hannah Foust $22 / 30 min Regional, Sectional & National Coach Professional Skaters Association Member Group and Private Lesson Instructor Anita Saxena $25 / 30 min Birmingham Figure Skating Club Member USFS Gold Medalist in Field Moves USFS Novice Freestyle Institute Member Rachel Landers $21 / 30 min USFS Pre-Gold Dance USFS Adult Gold Moves in the Field USFS Gold Medalist in Moves in the Field USFS Pre-Gold Dance & 2 Gold Dances PSA Certified Moves in the Field USFS Intermediate Freestyle Test ISI Dance 10 PSA Registered Freestyle Experience in teaching special needs children Over 8 years coaching experience PSA Registered Group Group and Private Lesson Instructor Group Classes and Private Lesson Instructor USFS Adult National Competitor

Doctor of Optometry

Group and Private Lesson Instructor