Judges School Host Application

Application for Approval for Judges’ Schools, Seminars or Training Sessions
Judges Education and Training Subcommittee
Sponsoring Club(s) or Interclub Association:
Location of School:
Dates of School:
Cost for Judge to Attend:
Grant requested from U.S. Figure Skating*?
Yes
No If “Yes”, amount requested:
*If you are requesting a grant, this sanction request MUST be accompanied by your proposed budget.
Grants will be paid out at the conclusion of the seminar upon receipt of the final profit and loss report.
Discipline(s) offered (check all that apply):
Singles
Pairs
Topic(s) Offered/Focus (check all that apply):
Moves in the Field
Program Components
Ice Dancing
IJS
Synchronized
6.0
Tests
Number of classroom hours:
Number of on-ice hours:
General Chair:
Name:
E-mail:
Phone:
Judge-in-Charge:
Name:
E-mail:
Phone:
Instructors (judges & coaches names and levels/credentials)
1.
2.
3.
4.
5.
I certify that all applicable rules of U.S. Figure Skating will be followed if approval is granted for the
school, seminar, or training session described above:
Club Officer’s Name:
This portion to be completed by U.S. Figure Skating
Date Received by JETS:
Approved?
Title:
Yes
No
Date:
Signature of VC of Schools for JETS:
Send completed application to: Lynn Bell at [email protected] (preferred) or 1819 W. Lake Dr., Taylor, TX 76574
Revised: March 2012
Application for Approval for Judges’ Schools, Seminars or Training Sessions
Judges Education and Training Subcommittee
Profit and Loss Report
Preliminary Report:
Final Report:
Sponsoring Club(s) or Interclub Association:
Location of School:
Dates of School:
Name of Person Preparing Report:
Summarize below all income and expenses attributable to your school. If there is not enough
room, add additional financial statements.
Income
Description
Dollars
1. Non-U.S. Figure Skating Grants (provide name):
$
2. Registration fees
$
3. Sale of materials (books, etc.)
$
4. Charge for meals
$
5. Other revenue
$
Total income (total of lines 1-5)
$
Expenses
Description
Dollars
6. Food for instructors
$
7. Expenses for demonstrators (food, travel, etc.)
$
8. Ice rental
$
9. Meeting room rental
$
10. Audio/visual expenses
$
11. Cost of meals
$
12. Office expenses (postage, phone, copying, etc.)
$
13. Materials purchased (rulebooks, etc.)
$
14. Other expenses (list items):
$
Total Expenses (total of lines 6-14)
$
Total Profit or Loss (income less expenses)
$
This portion to be completed by U.S. Figure Skating
Grant Approved?
Yes
No
Signature of VC of Schools for JETS:
Date Received at HQ:
Amount:
Check Requested?
Yes
No
Date:
Send completed application to: Lynn Bell at [email protected] (preferred) or 1819 W. Lake Dr., Taylor, TX 76574
Revised: March 2012