USFSA PERMISSION FORM In order for a skater to

							                                       USFSA PERMISSION FORM
In order for a skater to participate in a USFSA sanctioned event at a club other than his/her home club, this
form must be completed by an officer of the skater’s home club and sent to the club hosting the event.

                             TEST * SHOWS * EXHIBITIONS * CARNIVALS * COMPETITIONS

                                                                                          __________________
                                                                                                                Date

This letter certifies that _______________________________________________, _____________________,
                                  Name                                               USFSA #


is a member in good standing of the __________________________________________________________.


This permission is for the following USFSA sanctioned event:

                TESTS          ____________Moves             ____________________
                                                             (date last tested)


                               ____________Free Skating      ____________________
                                                             (date last tested)


                               ____________Dance             ____________________
                                                             (date last tested)


                               ____________Pairs             ____________________
                                                             (date last tested)


                               ____________Figures           ____________________
                                                             (date last tested)


                 SHOWS, EXHIBITIONS, CARNIVALS

                COMPETITIONS

to be hosted by ___________________________________________________________________________.
                        (name of club conducting event)


Permission VALID UNTIL ____________________________.

                                Members/Candidates shall be bound by the USFSA rules.

If skater is taking tests, please send the results to:

_____________________________________________

_____________________________________________

_____________________________________________

__________________________________________________ ______________________________________
Signature of Club Official                                         Date