RMU Skating Information Form

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RMU Skating Information Form

Please fill out the information below. It will be forwarded via email to Skating Coach Michelle Tepkasetkul Martineau. When you have filled in all the appropriate fields, click the "SEND FORM" button at the bottom of the page.

PERSONAL INFORMATION

First Name:

Last Name:

Address:

City:

State:

Zip:

Home Phone:

Cell Phone:

Email:

Date of Birth:

Mother's First Name:

Mother's Last Name:

Mother's Email:

Mother's Alma Mater:

Mother's Occupation:

Father's First Name:

Father's Last Name:

Father's Email:

Father's Alma Mater:

Father's Occupation:

ACADEMIC INFORMATION

High School or Junior College:

Graduation Year:

Level:

HS/JC Address:

HS/JC City:

HS/JC State:

HS/JC Zip:

HS/JC Phone:

Class Rank:

Grade Point Average:

ACT or SAT:

Intended Major:

ATHLETIC INFORMATION

Highest Test Passed:

USFSA Moves in the Field:

USFSA Dance:

USFSA Free Skate:

ISI Free Skate:

Other Tests:

Personal Skating Goals:

Skating Awards/Honors:

Other Sports Played:

Height:

Weight:

SYNCHRONIZED SKATING

Current Team:

Level of Team:

Head Coach:

Address:

Phone:

Email:

Other Teams & Levels Skated:

Competition Record:

SINGLES SKATING

Primary Coach:

Address:

Phone:

Email:

Competition Record: