Returnto Santa Rosa Figure Skating Club Home PageNAME: _________________________________________________
ADDRESS: ______________________________________________
PHONE ( ) ________________ PARENT'S NAME: ______________
AGE _____ SEX ____ TESTS PASSED _______________________________
Height _______________ Dress Size _________
I would like to be in 1 (one) Number: ____________________________
This will cost $95.00
I would like to be in 2 (two) numbers: ___________________________
This will cost $135.00
Tell Us about your skating experience: ___________________________
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Who is your Pro? __________________________________________
How would you or your family like to help with the show?
Sewing, Painting Sets, Selling Tickets, etc.
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Please fill out one application per person. Applications are due byNovember 15, 2025. Late Applications will be accepted at the disecretionof the club. A $50.00 is required with this application. The remainder ofthe money is due in January before costumes are picked up for sewing. Paymentare encouraged. The deposit is not refundable.
Send Applications
To Terrie Gershman 3716 Sacramento Ave Santa Rosa CA 95405
(707) 523-4523
I ______________________ have read the rules and regulations for the SRFSC'SSpring Show. I agree to all the rules and regulations. I agree to have myshow fee's paid before I pick up my costumes/my child's costume.
__________________________________Date __________________
Signature of Parent or Skater over 18 years
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