SKATING CLUB OF WESTERN NEW YORK Test SessionApplication SUBMISSION DEADLINE two weeks prior to test session date SCWNY Test Session Application 2026-2027 Official 2026-2027 test session application for the Skating Club of Western New York. "*" indicates required fields Step 1 of 3 - Skater Information 33% PhoneThis field is for validation purposes and should be left unchanged.1Step 1 of 3Skater InformationPlease complete all fields. Submit at least two weeks before the test date. Late fees apply after the deadline. One application per skater.Test Date*MMMM123456789101112DDDD12345678910111213141516171819202122232425262728293031YYYYYYYY202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Skater Name* First Last USFSA #Phone*Skater Email* Mailing Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home Club*Select...SCWNY (Skating Club of Western New York)Guest Skater (Another Club)Guest Home Club Name*Name of your home club.Coach Name*Coach Email* 2Step 2 of 3Test SelectionSelect the test(s) you wish to take in each discipline. One application per skater. Test fees are non-refundable..Skating Skills Not testing this discipline Pre-Preliminary — $25 Preliminary — $30 Pre-Bronze — $30 Bronze — $35 Pre-Silver — $35 Silver — $40 Pre-Gold — $45 Gold — $45 Adult Pre-Bronze — $30 Adult Bronze — $35 Adult Silver — $40 Adult Gold — $50 Select the Skating Skills level you wish to test.Singles Not testing this discipline Pre-Preliminary — $25 Preliminary — $30 Pre-Bronze — $30 Bronze — $35 Pre-Silver — $35 Silver — $40 Pre-Gold — $45 Gold — $45 Adult Pre-Bronze — $30 Adult Bronze — $35 Adult Silver — $40 Adult Gold — $50 Select the Singles level you wish to test.Pairs Not testing this discipline Bronze (Each Skater) — $25 Pre-Silver (Each Skater) — $30 Silver (Each Skater) — $30 Pre-Gold (Each Skater) — $35 Gold (Each Skater) — $39 Adult Bronze (Each Skater) — $31 Adult Silver (Each Skater) — $41 Adult Gold (Each Skater) — $51 Select the Pairs level you wish to test. Fee is per skater.Free Dance Not testing this discipline Bronze (Each Skater) — $25 Pre-Silver (Each Skater) — $29 Silver (Each Skater) — $35 Pre-Gold (Each Skater) — $40 Gold (Each Skater) — $45 Adult Bronze (Each Skater) — $31 Adult Silver (Each Skater) — $41 Adult Gold (Each Skater) — $51 Select the Free Dance level you wish to test. Fee is per skater.Ice DanceSelect all dances you wish to test. Each dance is a separate product/radio selection.Lead or Follow?* Lead Follow Partnered or Solo?* Partnered Solo Partner's NamePartner's USFSA #Preliminary Dances — $20 eachDutch Waltz (Preliminary) Dutch Waltz (Preliminary) — $20 Canasta Tango (Preliminary) Canasta Tango (Preliminary) — $20 Rhythm Blues (Preliminary) Rhythm Blues (Preliminary) — $20 Pre-Bronze Dances — $22 eachFiesta Tango (Pre-Bronze) Fiesta Tango (Pre-Bronze) — $22 Swing Dance (Pre-Bronze) Swing Dance (Pre-Bronze) — $22 Cha Cha (Pre-Bronze) Cha Cha (Pre-Bronze) — $22 Bronze Dances — $25 eachHickory Hoedown (Bronze) Hickory Hoedown (Bronze) — $25 Willow Waltz (Bronze) Willow Waltz (Bronze) — $25 Ten Fox (Bronze) Ten Fox (Bronze) — $25 Pre-Silver Dances — $27 eachFourteen Step (Pre-Silver) Fourteen Step (Pre-Silver) — $27 European (Pre-Silver) European (Pre-Silver) — $27 Fox Trot (Pre-Silver) Fox Trot (Pre-Silver) — $27 Silver Dances — $30 eachAmerican Waltz (Silver) American Waltz (Silver) — $30 Tango (Silver) Tango (Silver) — $30 Rocker Fox Trot (Silver) Rocker Fox Trot (Silver) — $30 Pre-Gold Dances — $35 eachKillian (Pre-Gold) Killian (Pre-Gold) — $35 Blues (Pre-Gold) Blues (Pre-Gold) — $35 Paso Doble (Pre-Gold) Paso Doble (Pre-Gold) — $35 Starlight Waltz (Pre-Gold) Starlight Waltz (Pre-Gold) — $35 Gold Dances — $40 eachViennese Waltz (Gold) Viennese Waltz (Gold) — $40 Westminster Waltz (Gold) Westminster Waltz (Gold) — $40 Argentine Tango (Gold) Argentine Tango (Gold) — $40 Quickstep (Gold) Quickstep (Gold) — $40 Step 3 of 3: Fees and PaymentReview applicable fees and select your payment method. Test fees are non-refundable.Home Club Status* SCWNY Member (No Additional Fee) Guest Skater - Non-Home Club Fee (+$20.00) USFS Membership Status* Current USFS Member (No Additional Fee) Non-Member - Individual Member Fee (+$25.00) Hospitality Fee* Hospitality Fee ($5.00) - Required for all applicants Application Timing* On Time Application (Received before deadline) Late Application (+$25.00, No Exceptions) Payment Method* Pay online with credit card (Stripe) (+ $7.00 fee) Pay via Venmo (+ $5.00 fee) Mail a check to SCWNY Total Due Credit Card Venmo Instructions:Send total plus $5.00 fee to @SCWNY716. Include skater name and Test Application in note.Check Instructions:Make check payable to SCWNY and mail to: Lisa Melohusky, Test Chair, 15 E. Bihrwood Dr., West Seneca, NY 14224Waiver of Liability - Legal DocumentThe USFS and its Member Clubs holding tests undertake no responsibility for damages or injuries suffered by its candidates. All candidates shall be deemed to have agreed to assume all risks of injury resulting from the conduct and management of the tests, and to release any claims against all officials, the USFS, and the club holding the tests. (USFS Rulebook TR#12.01)Consent* I, the skater or parent/guardian if under 18, have read and agree to the Waiver of Liability above.Printed Name (Skater, or Parent/Guardian if under 18)*