PERFORMANCE AFFIDAVIT

This form must be completed by all athletes participating in the 2021 U.S. Figure Skating Championship Series presented by Toyota - Junior/Senior Virtual, in addition to their coach and proctor on the day of their performance. 
 
In completing this form, all parties certify the information on this form is accurate and all rules of the Championship Series - Virtual were abided by.

ATHLETE/TEAM INFORMATION

RECORDING DETAILS

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ATHLETE AFFIDAVIT

Athlete Signature: *
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Partner Signature: *
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COACH INFORMATION/AFFIDAVIT

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Coach Signature: *
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IF YOUR COACH IS NOT PRESENT TO COMPLETE THIS FORM, PROVIDE DETAILS AND PUT AN "X" IN THE SIGNATURE BOX - THEY MUST SEND AN EMAIL TO EVENTS@USFIGURESKATING.ORG VERIFYING YOUR SUBMISSION. 

PROCTOR INFORMATION/AFFIDAVIT

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Protcor Signature: *
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