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Channel Islands Figure Skating Club USFS Test Application – Adult Tests Only PERSONAL INFORMATION (PLEASE PRINT) Test Date ________________ Name ________________________________________ Sex M/F _____ USFS # ___________
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Document Date: 2014-02-05 23:20:18

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File Size: 134,05 KB

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Currency

USD / /

/

Facility

Second club $_______•_____ / /

IndustryTerm

Test applications / /

Organization

Signature Club / Home Work E-mail__________________________________ Home Club / Channel Islands Figure Skating Club / /

Person

Diane Kinzek / /

Position

Treasurer / test chairperson / Coach / CIFSC Test Chairperson / judge / Signature Coach / /

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