If you are entering as a solo skater then please complete the form below.


If you are applying as a pair then click here for an application form.


Please read the Rules and Criteria before applying for the Competition:


Click here for the Rules of the Competition.

Click here for the NISA Criteria required.



Competition Name / Event Number (required):

Competition Level (required):

Competitor Name (required):

Date Of Birth (required):

Address (required):

Telephone Number Mobile (required):

Telephone Number Home:

Your Email (required):

Skating Club (required):

Age On Closing Date (2nd June 2017)(required):

NISA Membership Number (required):

Age As At 1st July 2016 (required):

Date Skate UK Passport sent / NISA Membership Applied for (required):


Highest NISA Tests Passed

Field Moves / Dance Moves Level :
Date passed
Free Level :
Date passed
Elements Level :
Date passed
Competitive Test (Short) Level:
Date passed
Competitive Test (Free) Level:
Date passed


PLEASE INDICATE DETAILS OF PENDING TESTS PRIOR TO CLOSING DATE:

All competitors are to complete in the Primary Coach section of the form. Should you have an Accredited Coach then complete this section of the form in full as well.

Primary Coach 1 (Name):
Accredited Coach 2 (Name):
NISA Membership Number:
NISA Membership Number:
Date / Venue Conference / IJS Seminar Attended(required):
Date / Venue Conference / IJS Seminar Attended :

Date / Venue Field Moves Seminar Attended (required):
Date / Venue Field Moves Seminar Attended:

Programme Content

Category:
MenLadies

Event Entered:

Second Event Entered (if applicable):

Rink / Club



(1) ELEMENTS MUST BE IN ORDER OF SKATING

Please use the dropdown boxes to complete the Programme Elements section of the form.

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In completing the above section if you have selected 'Other' as one of your moves then please can you give more details in the box below ie the time during the programme and the element name.




Time During Programme
Programme Elements Free
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In completing the above section if you have selected 'Other' as one of your moves then please can you give more details in the box below ie the time during the programme and the element name.





ENTRY FEES: IJS Solo Skaters £50 & IJS Levels 8 to 10 entering both Short & Free Programme £90.

Please make cheques payable to Coventry Figure Skating Club.

BACS payments to:
Lloyds Bank
Sort Code: 770701
Account Number: 70838162
Please enter the Skater name as the reference.

(NOTE: You will not be registered without a completed application form.)



Please enter the following code captcha into the box below