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Clinic On-Line Registration:              

Student's First Name:
Student's Last Name:
Parent/Legal Guardian Name(s) for Students Under Age 18:
Address:
City:
State:
Zip:
Home Phone:
Cell Phone:
Emergency Contact and Relationship to Fencer:
Emergency Contact Phone:
Email Address:
Student's Date of Birth
Clinic
How long have you been fencing?
What weapon do you fence? Foil
Epee
Sabre
Unsure
What weapon would you like to try? Foil
Epee
Sabre
Unsure
Age Category:
I understand that a waiver must be signed by the fencer's parent/guardian at the first class.
I understand that current US Fencing membership is required to participate, and may be purchased on the first day of the clinic.