Application | Stars Ice Academy

Skater Information

First name

Last name

Birthday

Month

Day

Year

Gender Identity

If other, describe here:

Current School Enrollment

Grade Level

Does your student have an IEP or 504 plan in place at their current school? Note: It is your choice to share this information. You are not legally required to provide this information to the Stars Ice Academy.

Skating History

Highest USFS Skating Skills Test Passed (If none, please write N/A)

Current Freestyle Competition Level (If not applicable, please write N/A)

Current Synchronized Skating Level (If not applicable, please write N/A)

Figure Skating Club Membership

Head Coach Name

Head Coach Email

Head Coach Phone

Figure Skating Goals

Health

Give a brief overview of your student's mental and physical health history, including any diagnoses you would like us to be aware of should they proceed with the application process.

Note: It is your choice to share this information. You are not legally required to provide this to the Stars Ice Academy.

Parent Information

Parent/Guardian 1 First

Parent/Guardian 1 Last

Phone

Parent/Guardian 2 First

Parent/Guardian 2 Last

Phone

In a few words, tell us why you are interested in enrolling your child in the Stars Ice Academy

Personal Statement

Utilize video format, essay, or another creative medium to answer the following questions:

What excites you about enrolling in the Academy?
What makes you nervous to enroll in the Academy?
Name one short-term and one long-term goal, both in skating and academically.

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