Specialty Number Registration Form
To register for a specialty number, please fill out this form and Mail to Eagan Skating
Academy, 3830 Pilot Knob Road, Eagan, MN 55122. Must be postmarked by January 1st!
Skater’s Name Date
1. Skater must enroll in and actively participate in an Eagan Skating Academy freestyle class in both the Winter 2 and Spring skate school
sessions OR if age 16 or older can choose to instruct skate school classes at least two days per week for the Winter 2 and Spring sessions.
Skater and parent please initial here
2. Skater must take WEEKLY private lessons from an approved Professional.
Private Lesson Coach Name(s)
3. MUST CONTRACT AT LEAST 3 SESSIONS PER WEEK between the dates of April 12, 2012 and January 1, 2013
Sessions contracted may include additional skate school classes, contract ice, or EICFSC ice time.
Please list 3 sessions that you are skating during the January1 – January 1st time periods. There are multiple lines since there will be
multiple contracts out during this time. Session can vary throughout a “set”. Include any additional contracts on the back!
WINTER SPRING SUMMER
1 1 1
2 2 2
3_______________________________ 3_______________________________ 3_______________________________
FALL ADDITIONAL SESSIONS ADDITIONAL SESSIONS
1___________________________ 1___________________________ 1___________________________
2___________________________ 2___________________________ 2___________________________
3___________________________ 3___________________________ 3___________________________
4. Please list the Competition Name and the Individual Event which you participated in representing the Eagan Skating Academy OR the test
that you successfully passed. No need to write down more than one competition/event/test!
5. Skater must agree to participate in the group show number for their level.
Skater and parent please initial here
6. Check here if you are a high school senior that has passed FS 4 and would like a revolving solo. Stop here - you do not need to
fill out the remainder of the form.
7. Check here if you are a high school senior that has passed FS 4 and are planning to attend the try-outs because you would like to
be considered for a solo in both/all shows. Please include the $20 try-out fee with your registration form. Stop here – you do
not need to fill out the remainder of the form.
Skaters must earn a minimum of 8 points to qualify for a specialty number/solo.
Please check any that apply to you. Each check is worth 1 point.
___ Summer Eagan FS class participant 2012
___Eagan Summer Camp participant 2012
___ Fall Eagan FS or power class participant 2012
___Winter 1 Eagan FS or power class participant 2012
___Eagan Team Compulsory participant 2012-2013 season
___Eagan Ice Synchro Member 2012-2013 season
___Eagan Skate School Instructor for Summer, Fall, and/or Winter 1 2012
___Eagan Skate School Helper 2012-2013
List any individual events entered representing either the Eagan Skating Academy or the EICFSC (other than the one listed on page 1). Competitions
must be between the dates of January 1st – January 1st. A Maximum of three individual events will be counted. Individual events consist of freestyle,
solo compulsory, footwork, individual spotlight, or artistic. You will receive one point for each individual event listed below (up to three).
List any tests passed between the dates of January 1st – January 1st. You may include ISI FS tests, USFS FS tests, USFS MIF tests, USFS Dance
tests, and/or ISI dance tests. You will receive one point for each test listed below. Include any additional tests on the back of this sheet (no limit).
List any extra sessions that you have contracted in addition to the sessions already listed on page one. Sessions must be contracted between the dates
of April 12th and January 1st. Sessions contracted may include additional skate school classes, contract ice, or EICFSC ice. You will receive one
point for each line filled in below.
1. 6. 11.
2. 7. 12.
3. 8. 13.
4. 9. 14.
5. 10. 15.
A $20 registration fee payable to City of Eagan must be included with this registration form.
Send your form and payment to Eagan Skating Academy, 3830 Pilot Knob Road, Eagan, MN 55122.