| 1 | 1 | Kelley Hitchens, Lilac City FSC | 28.05 | |
| | Score | Executed Elements | Factored Prog. Components | | Deductions |
| 28.05 | 9.07 | 20.48 | | 1.50 |
| Planned Elements | Executed Elements | Base Value | | GOE | Score |
| Double Toeloop+Double Toeloop | Double Toeloop | 1.30 | | -0.65 | 0.65 |
| Double Loop | Double Loop | 1.70 | | -0.85 | 0.85 |
| Single Axel | Single Axel | 1.10 | | 0.06 | 1.16 |
| Fly. Sit Spin | Fly. Sit Spin | 0.00 | | 0.00 | 0.00 |
| Double Salchow+Single Toeloop | Double Salchow + Single Axel + SEQ | 2.40 | | -0.65 | 1.75 |
| Single Lutz | Single Lutz + Single Loop | 1.21 | | -0.03 | 1.18 |
| Double Salchow | Single Salchow | 0.44 | | -0.01 | 0.43 |
| Change Foot Comb. Spin | Change Foot Comb. Spin B | 1.70 | | -0.30 | 1.40 |
| Choreo Sequence | Step Sequence B | 1.50 | | -0.34 | 1.16 |
| Single Flip | Single Flip | 0.55 | | -0.06 | 0.49 |
| Sit Spin | Sit Spin | 0.00 | | 0.00 | 0.00 |
| | Totals | 11.90 | | | 9.07 |
| Program Components | Unfactored Score | Factor |
| Composition | 3.00 | 1.14 |
| Presentation | 2.06 | 1.14 |
| Skating Skills | 2.94 | 1.52 |
| Total Factored Program Components | 20.48 | |
| Deductions | Value |
| Costume/Prop violation | 0.00 |
| Time violation | 0.00 |
| Illegal element/movement | 0.00 |
| Falls | 1.50 |
| Interruption in excess | 0.00 |
| Interruption with allowance | 0.00 |
| Costume failure | 0.00 |
| Late start | 0.00 |
| Total Deductions | 1.50 |
|