Chesapeake Synchronized Skating

2010 - 2011 Tryout Application:

For all those interested in joining a team and all those simply needing
more information please take a moment to fill out the following form:

Skater Information:

I am interested in trying out for a team!
I would like more information.

Name:

DOB:

Age:

Address:

Email:

Phone Numbers:
Home: Cell:

Parent Information:

Name:

Email:

Phone Numbers:
Cell: Work:

Skating Information:

Home Club:

Current Test Level:
Moves: Dance: Freestyle:
Synchro Experience:
Years: Level: Team:

I am unable to attend tryouts on this date and would like to be contacted about a private tryout.

Comments/Questions/Concerns: