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Submission  \nThis form must be completed by the athlete(s) submitting a video for virtual test credit, in addition to their coach, the videographer, and the proctor on the day of the performance. In completing this form, all parties certify the information on this form is accurate and all rules of Virtual Testing were abided by. (Videographer and proctor do not need to be U.S. Figure Skating members. )  \nAthlete Information  \n\n| Name |  | U.S. Figure Skating \\# |  |\n| --- | --- | --- | --- |\n| Email Address |  | Phone |  |\n| Name of Test(s) Submitted |  |  |  |\n| Lead or Follow Dance Test? (if applicable) |  |  |  |\n| Dance/Pair Partner name (if applicable) |  |  |  |\n| Dance/Pair Partner USFS\\# (if applicable) |  |  |  |\n\nRecording Details  \n\n| Arena/Rink Name: |  | Arena/Rink City, State: |  |\n| --- | --- | --- | --- |\n| Recording Date: |  | Recording Time: |  |\n\nAthlete Signature  \n\n| _________________________________________ | 􀂆 I certify that the recording submitted was recorded on the date and time above. I further attest that the performance\u003Cbr>was one continuous program and was not edited prior to submission. |\n| --- | --- |\n\nCoach Information  \n\n| Name |  | U.S. Figure Skating \\# |  |\n| --- | --- | --- | --- |\n| Email Address |  | Phone |  |\n\nCoach Signature  \n\n| _________________________________________ | 􀂆 I certify that the recording submitted was recorded on the date and time above. I further attest that the performance\u003Cbr>was one continuous program and was not edited prior to submission. |\n| --- | --- |\n\nVideographer Information  \n\n| Name |  | U.S. Figure Skating \\# |  |\n| --- | --- | --- | --- |\n| Email Address |  | Phone |  |\n\nVideographer Signature  \n\n| _________________________________________ | 􀂆 I certify that the recording submitted was recorded on the date and time above. I further attest that the performance\u003Cbr>was one continuous program and was not edited prior to submission. |\n| --- | --- |\n\nProctor Information  \n\n| Name |  | U.S. Figure Skating \\# |  |\n| --- | --- | --- | --- |\n| Email Address |  | Phone |  |\n\nProctor Signature  \n\n| _________________________________________ | 􀂆 I certify that the recording submitted was recorded on the date and time above. I further attest that the performance\u003Cbr>was one continuous program and was not edited prior to submission. |\n| --- | --- |","cbCaipSuuuyCOyfa","https://ap.wps.com/l/cbCaipSuuuyCOyfa","pdf",121229,"English","# Athlete Information\n# Recording Details\n# Athlete Signature\n# Coach Information\n# Coach Signature\n# Videographer Information\n# Videographer Signature\n# Proctor Information\n# Proctor Signature","[{\"question\":\"Who must complete and certify this affidavit for virtual test submission?\",\"answer\":\"The athlete(s) submitting the video must complete the affidavit, in addition to their coach, videographer, and proctor certifying the information.\"},{\"question\":\"What does each signatory certify about the submitted video?\",\"answer\":\"Each signatory certifies the recording was made on the listed date and time and that the performance was one continuous program and was not edited before submission.\"},{\"question\":\"Are the videographer and proctor required to be U.S. Figure Skating members?\",\"answer\":\"No. The form states the videographer and proctor do not need to be U.S. Figure Skating members.\"}]","Performance Affidavit for Virtual Test Submission - Athlete, Coach, Videographer, and Proctor Certifications | PDF",1791015685]