Application to Trial/Practice Judge a Competition; Do NOT Delete

Application to Trial/Practice Judge a Competition

The application deadlines for qualifying and approved nonqualifying competitions can be found in rule JR 18.11.

Personal Information

First Name:

Last Name:

Member #:

Email Address:

Phone Number (xxx-xxx-xxxx):

Address:

City:

State:

Zip:

Country (if you live outside the U.S.):

Home Club:

Section of Residence:

Region of Residence:

Monitor/Test Chair Information

Name of Monitor or Test Chair:

Email Address of Monitor/Test Chair:

Address of Monitor/Test Chair:

City:

State:

Zip:

Country (if monitor/test chair lives outside the U.S.)

For which discipline(s) is this person your monitor:

Dance

Singles/Pairs

Synchronized

Theatre On Ice

If you have an additional monitor for another dicipline, please complete the questions below.

Name of Additional Monitor:

Email Address of Additional Monitor:

Address of Additional Monitor:

City:

State:

Zip:

Country (if monitor/test chair lives outside the U.S.)

For which discipline(s) is this person your monitor:

Dance

Singles/Pairs

Synchronized

Theatre On Ice

Applicant's Current Judging Status

Dance Test Judge 145 Ju

Dance Competition Judge 13456

Trial Judging Track for Dance

Singles/Pairs Test Judge

Singles/Pairs Competition Judge

Trial Judging Track for Singles/Pairs

Synchronized Competition Judge

Trial Judging Track for Synchronized

Theatre On Ice Competition Judge

Trial/Practice Judging Request

What Type(s) of Competition are You Requesting to Trial Judge (select all that apply)?

Approved Nonqualifying or Regional for Singles/Pairs	Approved Nonqualifying for Ice Dance
Sectional or U.S. Championship for Singles/Pairs	Sectional or U.S. Championship for Ice Dance
Any Type of Synchronized Competition	Any Type of Theatre On Ice Competition

Name of Competition You're Requesting to Trial/Practice Judge:

Event(s) Requested (select all that apply - you must select at least one choice in each row (N/A means "not applicable" and should be used for any disciplines you're not applying to trial judge)):

	Events for Competition Credit	Pairs Free Skate/Free Dance for Test Credit	N/A
Ice Dance	Events for Competition Credit	Pairs Free Skate/Free Dance for Test Credit	N/A
Pairs	Events for Competition Credit	Pairs Free Skate/Free Dance for Test Credit	N/A
Singles	Events for Competition Credit	Pairs Free Skate/Free Dance for Test Credit	N/A
Synchronized	Events for Competition Credit	Pairs Free Skate/Free Dance for Test Credit	N/A
Theatre On Ice (TOI)	Events for Competition Credit	Pairs Free Skate/Free Dance for Test Credit	N/A

Do you have any other comments about your request (for example, do you only need to trial certain levels)?

What is your previous trial judging experience while at your current judging level?