Tryout/Placement Registration

Skaters New to the Organization

The Tryout Registration is a two step process:
1) Fill out the organization registration form. This contains information about the skater's test levels, who coaches the skater, parent contact info, etc.

2) The Tryout Form: This form contains the tryout specific information that ALL skaters trying out for the teams will fill out. Once you submit the first registration form, you will see a button to take you to the second form.

Welcome to the Hayden Synchronized Skating Organization registration page.

You will also set up an username and password to allow you to edit the information in the future.
The form contains five sections:
  1. Skater information
  2. Parent / guardian information
  3. Emergency / Medical information
  4. Consent section for behavior / expectation contracts
  5. Hayden history


All information will be kept within the organization. Thank you for choosing Hayden Synchronized Skating!

Account Set-up

Username:    Password:   

Part 1: Skater Information

First Name:    Last Name:   
USFSA Number:    Birthdate [m/d/y]:   
Current Team: 
 
 
Learn to Skate Badges
and
Test Levels Completed
 
Moves / class
Free
Ice Dance
Home Club:    Coaches: 
Moves
Free
Ice Dance
Please provide information about your schedule lessons and private practice time per week during the season. Give to the nearest half hour.
Lessons:   
Practice Ice:   
Contact information
Contact: 
Address:
City:  State:  Zip:
Home Phone:  Work Phone:
Cell Phone:  E-mail:
School: 
We collect school information so that Team Managers can send letters about the organization and events to the Principal. If you attend college, please fill in as much information as you can.
       If other, please fill in boxes below.
School Name:
Principal Name:  School Phone:
Address:
City:  State:  Zip:
501c3 Matching:   Does your company provide matching funds for donations to charities?
  Yes    No    Don't know
Medical Training: 
FirstaidCPREMTNursingDoctor
Volunteer:  Please select what you would like to volunteer to help with:

For the team:
Parent will volunteerWardrobe ManagerFundraiserPR Manager
Volunteer CoordinatorMusic PlayerWardrobe/hair AsstsTeam Chaperone
Team DriverParty Planner

For the organization:
Finance and AccountingProfessional specialtiesLegalPR Committee
Marketing and SponsorshipTechnologyEvent

Part 2: Parent/Guardian Information

Contact 1:
First Name:    Last Name:   
Email:    Home Phone:   
Cell Phone:    Workplace:   
501c3 Matching:   Does your company provide matching funds for donations to charities?
  Yes    No    Don't know
Interests/Skills:  Please select all the skills you have that could potentially help our organization
Printing / CopyingVideo filming / productionDatabase managementSurveys
Programming Web programmingWeb DesignWikis
AccountingBankingWritingSewing
TravelCorporate contactsFundraisingSales
AdvertisingMarketing
Medical Training: 
FirstaidCPREMTNursingDoctor
Volunteer:  Please select what you would like to volunteer to help with:

For the team:
Skater will volunteerWardrobe ManagerFundraiserPR Manager
Volunteer CoordinatorMusic PlayerWardrobe/hair AsstsTeam Chaperone
Team DriverParty Planner

For the organization:
Finance and AccountingProfessional specialtiesLegalPR Committee
Marketing and SponsorshipTechnologyEvent
Contact 2:
First Name:    Last Name:   
Email:    Home Phone:   
Cell Phone:    Workplace:   
501c3 Matching:   Does your company provide matching funds for donations to charities?
  Yes    No    Don't know
Interests/Skills:  Please select all the skills you have that could potentially help our organization
Printing / CopyingVideo filming / productionDatabase managementSurveys
Programming Web programmingWeb DesignWikis
AccountingBankingWritingSewing
TravelCorporate contactsFundraisingSales
AdvertisingMarketing
Medical Training: 
FirstaidCPREMTNursingDoctor
Volunteer:  Please select what you would like to volunteer to help with:

For the team:
Skater will volunteerWardrobe ManagerFundraiserPR Manager
Volunteer CoordinatorMusic PlayerWardrobe/hair AsstsTeam Chaperone
Team DriverParty Planner

For the organization:
Finance and AccountingProfessional specialtiesLegalPR Committee
Marketing and SponsorshipTechnologyEvent

Part 3: Emergency / Medical Information

Alternate Emergency Contact 
Name:
Address:
City:  State:  Zip:
Home Phone:  Work Phone:
Cell Phone:  E-mail:
Primary Care Doctor / Dentist 
Pediatrician's Name:
Address:
City:  State:  Zip:
Telephone:
Dentist's Name:
Address:
City:  State:  Zip:
Telephone:
Health Insurance 
Insurance Carrier Name:
Policy Number:
Subscriber Name:
Inhaler   If your child uses an inhaler, do you give him/her permission to keep the inhaler with him/her at the team activities and to use it as needed?
  Yes    No    Not Applicable, my child does not use an Inhaler
Epi-Pen   If your child uses an Epi-Pen, do you give him/her permission to keep the Epi-Pen with him/her at the team activities and to use it as needed?
    Yes
    No
    My child will need adult assistance in administering the Epi-Pen
    Not Applicable, my child does not use an Epi-Pen
Allergies   My skater is allergic to the following foods, medications, animals, or environmental factors:
  
 The severity of reaction is  
 The symptoms include the following  
Medication 
Medication Medical Condition Amount per dose # of does per day
Concussions   How many concussions has the skater had?
  in lifetime: 0    1    2    3    4    5    More than 5
  in the past year: 0    1    2    3    4    5    More than 5

Part 4: Consent for behavior / expectation contracts

Consent  By clicking the below box, I acknowledge that I have read the contract and will follow the rules
    Skater contract    Click to view the Skater Contract
    Parent/Guardian contract    Click to view the Parent Contract
    Clothing contract    Click to view the Clothing Contract

Part 5: Hayden History

Hayden History  How many years have you skated with Hayden Synchronized Skating Teams including this year?


Please indicate which team you skated with each season:
SeasonTeam
2016-2017
2015-2016
2014-2015
2013-2014
2012-2013
2011-2012
2010-2011
2009-2010
2008-2009
2007-2008
2006-2007
2005-2006
2004-2005
2003-2004
2002-2003
2001-2002
2000-2001
1999-2000
1998-1999
1997-1998
1996-1997
1995-1996